West Valley Infectious Disease | |
3590 W 9000 S Ste 240 West Jordan UT 84088-8864 | |
(801) 569-2384 | |
(801) 569-8643 |
Full Name | West Valley Infectious Disease |
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Speciality | Internal Medicine - Infectious Disease |
Location | 3590 W 9000 S Ste 240, West Jordan, Utah |
Authorized Official Name and Position | Gina L Vigil (OFFICE MANAGER) |
Authorized Official Contact | 8015692384 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Valley Infectious Disease 3590 W 9000 S Ste 240 West Jordan UT 84088-8864 Ph: (801) 569-2384 | West Valley Infectious Disease 3590 W 9000 S Ste 240 West Jordan UT 84088-8864 Ph: (801) 569-2384 |
NPI Number | 1518155753 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 10/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518155753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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