| Physician House Calls, Inc. | |
|
554 S 800 E Apt. A Salt Lake City UT 84102-2931 | |
| (801) 557-4595 | |
| (801) 596-8080 |
| Full Name | Physician House Calls, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 554 S 800 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Bonnie J Lee (OWNER) |
| Authorized Official Contact | 8015574595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician House Calls, Inc. Po Box 2106 Sandy UT 84091-2106 Ph: (801) 557-4595 | Physician House Calls, Inc. 554 S 800 E Apt. A Salt Lake City UT 84102-2931 Ph: (801) 557-4595 |
| NPI Number | 1093743155 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093743155 | NPI | - | NPPES |
| 1790779106 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1711891205 (Utah) | Primary |
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