| Aspire365 | |
|
765 E 9000 S Ste A2b Sandy UT 84094-3082 | |
| (385) 352-9696 | |
| (385) 399-9070 |
| Full Name | Aspire365 |
|---|---|
| Speciality | Preventive Medicine |
| Location | 765 E 9000 S Ste A2b, Sandy, Utah |
| Authorized Official Name and Position | Zachary Jenson (MANAGER) |
| Authorized Official Contact | 8015561977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire365 765 E 9000 S Ste A2b Sandy UT 84094-3082 Ph: (385) 352-9696 | Aspire365 765 E 9000 S Ste A2b Sandy UT 84094-3082 Ph: (385) 352-9696 |
| NPI Number | 1972133783 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 3173908860 |
|---|---|
| Medicare Enrollment ID | O20220915003836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972133783 | NPI | - | NPPES |
| Provider Name | Randall G Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164696993 PECOS PAC ID: 8628233566 Enrollment ID: I20210901002266 |
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