Intercare Llc | |
1145 S 800 E Ste 111 Orem UT 84097-7273 | |
(385) 221-1144 | |
(801) 367-7678 |
Full Name | Intercare Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1145 S 800 E Ste 111, Orem, Utah |
Authorized Official Name and Position | William Bunn (OWNER/PHYSICIAN) |
Authorized Official Contact | 3852211144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intercare Llc 6694 W. Normandy Way Highland UT 84003 Ph: (385) 221-1144 | Intercare Llc 1145 S 800 E Ste 111 Orem UT 84097-7273 Ph: (385) 221-1144 |
NPI Number | 1790077642 |
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Provider Enumeration Date | 05/11/2011 |
Last Update Date | 08/19/2022 |
Certification Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790077642 | NPI | - | NPPES |
DO195129 | Other | OR | OREGON MEDICAL LICESNSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 5756680-1204 (Utah) | Primary |
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