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5373 Lake Park Blvd West Valley City UT 84127 | |
(801) 442-1853 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5373 Lake Park Blvd, West Valley City, Utah |
Authorized Official Name and Position | Linda Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | 5373 Lake Park Blvd West Valley City UT 84127 Ph: (801) 442-1853 |
NPI Number | 1205293362 |
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Provider Enumeration Date | 01/20/2016 |
Last Update Date | 02/02/2016 |
Identifier | Type | State | Issuer |
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1205293362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Vamos Health Ut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S Ste 107, West Valley City, UT 84120 Phone: 502-333-2281 | |
Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889 |