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10000 S Centennial Pkwy Suite 235 Sandy UT 84070-4148 | |
(801) 568-4664 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 10000 S Centennial Pkwy, Sandy, Utah |
Authorized Official Name and Position | Darce A. Latsis (OPERATIONS MANAGER) |
Authorized Official Contact | 8014411002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10000 S Centennial Pkwy Suite 235 Sandy UT 84070-4148 Ph: (801) 568-4664 | 10000 S Centennial Pkwy Suite 235 Sandy UT 84070-4148 Ph: (801) 568-4664 |
NPI Number | 1083076665 |
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Provider Enumeration Date | 03/23/2016 |
Last Update Date | 03/29/2016 |
Identifier | Type | State | Issuer |
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1083076665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 129931 (Utah) | 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 | |