| Salt Lake Valley Clinic Llc | |
|
4141 S Highland Dr Ste 208 Holladay UT 84124-2656 | |
| (801) 593-6777 | |
| Not Available |
| Full Name | Salt Lake Valley Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4141 S Highland Dr Ste 208, Holladay, Utah |
| Authorized Official Name and Position | Tyler Dallas (ADMINISTRATOR) |
| Authorized Official Contact | 8015936777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Valley Clinic Llc Po Box 640 Kaysville UT 84037-0640 Ph: (801) 593-6777 | Salt Lake Valley Clinic Llc 4141 S Highland Dr Ste 208 Holladay UT 84124-2656 Ph: (801) 593-6777 |
| NPI Number | 1710339445 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710339445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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