Bountiful Diabetes Clinic Llc

NPI 1043456999 - Specialist - 174400000X

NPI Details
NPI 1043456999
Enumeration Date 12/24/2008
Last Updated 12/24/2008
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ALBERT ALBERT
Position OWNER
Phone (801) 294-0191
Fax
Practice Location
440 MEDICAL DR.
BOUNTIFUL UT, 84010, US
Phone (801) 294-0191
Fax
Business Location
1560 SOUTH RENAISSANCE TOWN DRIVE #250
BOUNTIFUL UT, 84010, US
Phone (801) 294-0191
Fax
Toxanomy
Taxonomy Code 174400000X
License State Utah
License Number 200836457
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According to our database, Bountiful Diabetes Clinic Llc NPI is 1043456999, taxonomy code is 174400000X and license number is 200836457, license state is located at Utah. Bountiful Diabetes Clinic Llc physically located at 440 Medical Dr., Bountiful UT, 84010. NPI Number 1033115704 has the healthcare provider type.

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1043456999 NPI number is provided on an as is basis without warranty of any kind. 1043456999 is maintained by the National Plan & Provider Enumeration System. The contents of Bountiful Diabetes Clinic Llc are for informational purposes only.