Hesperides Health Pllc

NPI 1063715589 - Family Medicine - 207QH0002X

NPI Details
NPI 1063715589
Enumeration Date 12/07/2010
Last Updated 12/07/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DOUGLAS ROLAND DOUGLAS
Position CEO
Phone (801) 682-6817
Fax
Practice Location
5444 WAYMAN LN
HOLLADAY UT, 84117-7830, US
Phone (801) 682-6817
Fax
Business Location
5444 WAYMAN LN
HOLLADAY UT, 84117-7830, US
Phone (801) 682-6817
Fax
Toxanomy
Taxonomy Code 207QH0002X
License State
License Number
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According to our database, Hesperides Health Pllc NPI is 1063715589, taxonomy code is 207QH0002X Hesperides Health Pllc physically located at 5444 Wayman Ln, Holladay UT, 84117-7830. NPI Number 1033115704 has the healthcare provider type.

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1063715589 NPI number is provided on an as is basis without warranty of any kind. 1063715589 is maintained by the National Plan & Provider Enumeration System. The contents of Hesperides Health Pllc are for informational purposes only.