Young Health & Wellness | |
3018 E 3300 S Salt Lake City UT 84109-2144 | |
(801) 815-2967 | |
Not Available |
Full Name | Young Health & Wellness |
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Speciality | Clinic/center |
Location | 3018 E 3300 S, Salt Lake City, Utah |
Authorized Official Name and Position | Diane Young (PROVIDER) |
Authorized Official Contact | 8018152967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Young Health & Wellness 6321 S Boxwood Rd Salt Lake City UT 84121-2213 Ph: (801) 815-2967 | Young Health & Wellness 3018 E 3300 S Salt Lake City UT 84109-2144 Ph: (801) 815-2967 |
NPI Number | 1366982522 |
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Provider Enumeration Date | 03/06/2017 |
Last Update Date | 08/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366982522 | NPI | - | NPPES |
1366982522 | Other | UT | PRACTICE NPI |
1194122788 | Other | UT | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 53036184405 (Utah) | Primary |
363LF0000X | Nurse Practitioner - Family | 5303618-4405 (Utah) | Secondary |
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