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Organization · Internal Medicine Physician · Midvale, UT

NPI
1245068626
Type
Organization (Type 2)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
Enumerated
2024-07-25
Last updated
2025-02-10
Practice location
623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529
(801) 879-2664

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