| Southwest Family Medicine, Llc | |
|
1575 W 7000 S West Jordan UT 84084-3431 | |
| (801) 569-9133 | |
| (801) 569-9103 |
| Full Name | Southwest Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 W 7000 S, West Jordan, Utah |
| Authorized Official Name and Position | Randall L Watson (MD / OWNER) |
| Authorized Official Contact | 8015699133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family Medicine, Llc 1575 W 7000 S West Jordan UT 84084-3431 Ph: (801) 569-9133 | Southwest Family Medicine, Llc 1575 W 7000 S West Jordan UT 84084-3431 Ph: (801) 569-9133 |
| NPI Number | 1174707517 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 10/01/2008 |
| Medicare PECOS PAC ID | 7416868153 |
|---|---|
| Medicare Enrollment ID | O20051208000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707517 | NPI | - | NPPES |
| 1316986136 | Other | UT | NPI REBECCA LEVINE, MD |
| 000058107 | Other | UT | MEDICARE GROUP NUMBER |
| 1386691251 | Other | UT | NPI KATIE JULIEN, MD |
| 1952341000 | Other | UT | NPI |
| 1174707517 | Other | UT | GROUP / CORP NPI |
| 000057709 | Other | UT | GROUP MEDICARE # JULIEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1756991205 (Utah) | Primary |
| Provider Name | Joyce Pritchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407098122 PECOS PAC ID: 3779885355 Enrollment ID: I20160113003110 |
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