| |
9525 S Tramway Dr Sandy UT 84092-3108 | |
(801) 441-0882 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 9525 S Tramway Dr, Sandy, Utah |
Authorized Official Name and Position | Christiane Paney (CLINIC DIRECTOR) |
Authorized Official Contact | 9016618973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
9525 S Tramway Dr Sandy UT 84092-3108 Ph: (801) 441-0882 | 9525 S Tramway Dr Sandy UT 84092-3108 Ph: (801) 441-0882 |
NPI Number | 1376166561 |
---|---|
Provider Enumeration Date | 05/21/2020 |
Last Update Date | 05/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376166561 | NPI | - | NPPES |
1143611 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Vernon K. Liu Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 | |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 | |