Med One Medical

NPI 1194723650 - Clinic/Center - 261QS1200X

NPI Details
NPI 1194723650
Enumeration Date 07/08/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL R MICHAEL
Position OWNER
Phone (801) 566-6433
Fax (801) 304-0076
Practice Location
6965 UNION PARK CTR
#400
MIDVALE UT, 84047-6008, US
Phone (801) 566-6433
Fax (801) 304-0076
Business Location
6965 UNION PARK CTR
#400
MIDVALE UT, 84047-6008, US
Phone (801) 566-6433
Fax (801) 304-0076
Toxanomy
Taxonomy Code 261QS1200X
License State Utah
License Number 17686
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According to our database, Med One Medical NPI is 1194723650, taxonomy code is 261QS1200X and license number is 17686, license state is located at Utah. Med One Medical physically located at 6965 Union Park Ctr, Midvale UT, 84047-6008. NPI Number 1033115704 has the healthcare provider type.

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1194723650 NPI number is provided on an as is basis without warranty of any kind. 1194723650 is maintained by the National Plan & Provider Enumeration System. The contents of Med One Medical are for informational purposes only.