| Work Care-south Side, Llc | |
|
12422 S 450 E Draper UT 84020-8050 | |
| (801) 748-1600 | |
| (801) 748-1601 |
| Full Name | Work Care-south Side, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 12422 S 450 E, Draper, Utah |
| Authorized Official Name and Position | Mark V Anderson (PRESIDENT) |
| Authorized Official Contact | 8019751600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Work Care-south Side, Llc Po Box 271395 Salt Lake City UT 84126-0692 Ph: (801) 748-1600 | Work Care-south Side, Llc 12422 S 450 E Draper UT 84020-8050 Ph: (801) 748-1600 |
| NPI Number | 1760773923 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760773923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Utah) | Primary |
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