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1660 W Antelope Dr Ste 320 Layton UT 84041-1156 | |
| (801) 376-0227 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1660 W Antelope Dr, Layton, Utah |
| Authorized Official Name and Position | Brent Bingham (OWNER) |
| Authorized Official Contact | 8013760227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1660 W Antelope Dr Ste 320 Layton UT 84041-1156 Ph: () - | 1660 W Antelope Dr Ste 320 Layton UT 84041-1156 Ph: (801) 376-0227 |
| NPI Number | 1497207872 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497207872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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