Grace Kim Harris DO

NPI 1093725277 - Family Medicine - 207Q00000X

NPI Details
NPI 1093725277
Gender Female
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1225 FORT UNION BLVD
SUITE 200
MIDVALE UT, 84047-1889, US
Phone (801) 233-4400
Fax (801) 233-4410
Business Location
1225 FORT UNION BLVD
SUITE 200
MIDVALE UT, 84047-1889, US
Phone (801) 233-4400
Fax (801) 233-4410
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 53924561204
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According to our database, Grace Kim Harris DO NPI is 1093725277, taxonomy code is 207Q00000X and license number is 53924561204, license state is located at Utah. Grace Kim Harris DO physically located at 1225 Fort Union Blvd, Midvale UT, 84047-1889. NPI Number Grace Kim Harris DO has the Individual type.

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1093725277 NPI number is provided on an as is basis without warranty of any kind. 1093725277 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Kim Harris DO are for informational purposes only.