The Clinic, Pc

NPI 1255602223 - Family Medicine - 207Q00000X

NPI Details
NPI 1255602223
Enumeration Date 01/23/2012
Last Updated 01/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LARRY J LARRY
Position ADMINISTRATOR
Phone (801) 766-8427
Fax (801) 766-5657
Practice Location
76 E COMMERCE DR STE 204
SARATOGA SPRINGS UT, 84045-4024, US
Phone (801) 766-8427
Fax (801) 766-5657
Business Location
226 N 1100 E STE A
AMERICAN FORK UT, 84003-2054, US
Phone (801) 855-3843
Fax (801) 855-3854
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, The Clinic, Pc NPI is 1255602223, taxonomy code is 207Q00000X The Clinic, Pc physically located at 76 E Commerce Dr Ste 204, Saratoga Springs UT, 84045-4024. NPI Number 1033115704 has the healthcare provider type.

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1255602223 NPI number is provided on an as is basis without warranty of any kind. 1255602223 is maintained by the National Plan & Provider Enumeration System. The contents of The Clinic, Pc are for informational purposes only.