Utah Phs Llc

NPI 1619282571 - Family Medicine - 207Q00000X

NPI Details
NPI 1619282571
Enumeration Date 08/16/2010
Last Updated 10/25/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK MARK
Position CEO
Phone (877) 260-4747
Fax
Practice Location
321 N MALL DR BLDG R
RED CLIFFS PROFESSIONAL PARK
SAINT GEORGE UT, 84790-7302, US
Phone (877) 260-4747
Fax
Business Location
9155 CRESTWYN HILLS DR
MEMPHIS TN, 38125-8501, US
Phone (901) 261-4848
Fax (901) 261-4849
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Utah Phs Llc NPI is 1619282571, taxonomy code is 207Q00000X Utah Phs Llc physically located at 321 N Mall Dr Bldg R, Saint George UT, 84790-7302. NPI Number 1033115704 has the healthcare provider type.

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1619282571 NPI number is provided on an as is basis without warranty of any kind. 1619282571 is maintained by the National Plan & Provider Enumeration System. The contents of Utah Phs Llc are for informational purposes only.