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Preferred Provider Organization
NPI: 1194273524Organization
Specialties, Licenses & Credentials
Preferred Provider Organization
Code: 305R00000X
70107323102(UT)
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Contact & Hours
- Address
- 1420 W 12600 SPUTH
DRAPER, UT 84065 - Phone
- (801) 254-4600
Quick Facts
- NPI
- 1194273524
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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