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5848 Fashion Blvd Murray UT 84107-6121 | |
| (801) 314-4100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5848 Fashion Blvd, Murray, Utah |
| Authorized Official Name and Position | Denis Smith (CFO) |
| Authorized Official Contact | 8014422000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4646 Lake Park Blvd Salt Lake City UT 84120-8212 Ph: () - | 5848 Fashion Blvd Murray UT 84107-6121 Ph: (801) 314-4100 |
| NPI Number | 1184644338 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184644338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2005-HOSP-394 (Utah) | Primary |
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