| White Phoenix Medical | |
|
247 E 2700 N Lehi UT 84043-5110 | |
| (312) 388-2663 | |
| Not Available |
| Full Name | White Phoenix Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 247 E 2700 N, Lehi, Utah |
| Authorized Official Name and Position | Wesley Valdes (PRESIDENT) |
| Authorized Official Contact | 3123882663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Phoenix Medical 247 E 2700 N Lehi UT 84043-5110 Ph: (312) 388-2663 | White Phoenix Medical 247 E 2700 N Lehi UT 84043-5110 Ph: (312) 388-2663 |
| NPI Number | 1093169872 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093169872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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