Full Name | |
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Speciality | General Practice |
Location | 3443 W 5600 S, Roy, Utah |
Authorized Official Name and Position | Kevin Spainhower (BUSINESS SERVICES DIRECTOR) |
Authorized Official Contact | 8017734840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 337 Layton UT 84041-0337 Ph: () - | 3443 W 5600 S Roy UT 84067-9112 Ph: (801) 773-4840 |
NPI Number | 1265852669 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 01/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265852669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Family Tree Preventative Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5185 S 2275 W, Roy, UT 84067 Phone: 801-698-2144 | |