Eagle Mountain Family Medicine. Llc

NPI 1316012628 - Family Medicine - 207Q00000X

NPI Details
NPI 1316012628
Enumeration Date 11/21/2006
Last Updated 01/26/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH L KENNETH
Position CEO
Phone (801) 766-2121
Fax (801) 768-2612
Practice Location
1305 N COMMERCE DR
SUITE 120
SARATOGA SPRINGS UT, 84045-5305, US
Phone (801) 766-2121
Fax (801) 768-2612
Business Location
811 NORTH 500 WEST
OREM UT, 84057-7701, US
Phone (801) 434-7600
Fax (801) 434-7604
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 942752821205
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According to our database, Eagle Mountain Family Medicine. Llc NPI is 1316012628, taxonomy code is 207Q00000X and license number is 942752821205, license state is located at Utah. Eagle Mountain Family Medicine. Llc physically located at 1305 N Commerce Dr, Saratoga Springs UT, 84045-5305. NPI Number 1033115704 has the healthcare provider type.

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1316012628 NPI number is provided on an as is basis without warranty of any kind. 1316012628 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Mountain Family Medicine. Llc are for informational purposes only.