Tri City Medical Clinic Inc | |
830 N 2000 W Pleasant Grove UT 84062-4047 | |
(801) 756-3511 | |
(801) 756-1705 |
Full Name | Tri City Medical Clinic Inc |
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Speciality | Family Medicine |
Location | 830 N 2000 W, Pleasant Grove, Utah |
Authorized Official Name and Position | Marshall F Willis (CEO) |
Authorized Official Contact | 8017563511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri City Medical Clinic Inc 830 N 2000 W Pleasant Grove UT 84062-4047 Ph: (801) 756-3511 | Tri City Medical Clinic Inc 830 N 2000 W Pleasant Grove UT 84062-4047 Ph: (801) 756-3511 |
NPI Number | 1144321027 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 05/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144321027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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