| Tooele Clinic Corporation | |
|
330 Franklin Rd #135a-304 Brentwood TN 37027-3280 | |
| (615) 309-3338 | |
| Not Available |
| Full Name | Tooele Clinic Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Franklin Rd #135a-304, Brentwood, Tennessee |
| Authorized Official Name and Position | Michaele Portacci (SENIOR GROUP VP) |
| Authorized Official Contact | 6153093340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooele Clinic Corporation 330 Franklin Rd Brentwood TN 37027-3280 Ph: (615) 309-3338 | Tooele Clinic Corporation 330 Franklin Rd #135a-304 Brentwood TN 37027-3280 Ph: (615) 309-3338 |
| NPI Number | 1487656781 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487656781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 87063588 (Utah) | Primary |
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