| Syracuse Family & Occupational Medicine Pllc | |
|
1842 S 2000 W # 2 Syracuse UT 84075-9626 | |
| (801) 774-7450 | |
| (801) 774-7452 |
| Full Name | Syracuse Family & Occupational Medicine Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1842 S 2000 W # 2, Syracuse, Utah |
| Authorized Official Name and Position | Donald R Hastie (OWNER / OPERATOR) |
| Authorized Official Contact | 8015647091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Family & Occupational Medicine Pllc 1842 S 2000 W #2 Syracuse UT 84075-9626 Ph: (801) 774-7450 | Syracuse Family & Occupational Medicine Pllc 1842 S 2000 W # 2 Syracuse UT 84075-9626 Ph: (801) 774-7450 |
| NPI Number | 1639466352 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639466352 | NPI | - | NPPES |
| 204722-4405 | Other | UT | UT LICENSE |
| 1619900339 | Other | UT | APRN NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 7994885-0162 (Utah) | Primary |
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