Legacy Medical Pc

NPI 1235266776 - Ophthalmology - 207W00000X

NPI Details
NPI 1235266776
Enumeration Date 02/28/2007
Last Updated 10/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OREN CLARON OREN
Position PRESIDENT
Phone (801) 288-0067
Fax (801) 288-0067
Practice Location
4400 S 700 E STE 140
SALT LAKE CITY UT, 84107-3053, US
Phone (801) 288-0067
Fax (801) 288-0067
Business Location
4400 S 700 E STE 140
SALT LAKE CITY UT, 84107-3053, US
Phone (801) 288-0067
Fax (801) 288-0067
Toxanomy
Taxonomy Code 207W00000X
License State Utah
License Number 155564-1205
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According to our database, Legacy Medical Pc NPI is 1235266776, taxonomy code is 207W00000X and license number is 155564-1205, license state is located at Utah. Legacy Medical Pc physically located at 4400 S 700 E Ste 140, Salt Lake City UT, 84107-3053. NPI Number 1033115704 has the healthcare provider type.

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1235266776 NPI number is provided on an as is basis without warranty of any kind. 1235266776 is maintained by the National Plan & Provider Enumeration System. The contents of Legacy Medical Pc are for informational purposes only.