| Megan Komatsu Inc. | |
|
10815 700 East Sandy UT 84070 | |
| (801) 455-0150 | |
| Not Available |
| Full Name | Megan Komatsu Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10815 700 East, Sandy, Utah |
| Authorized Official Name and Position | Megan Komatsu (OWNER) |
| Authorized Official Contact | 8014550150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Komatsu Inc. 5526 W 13400 S Ste 544 Herriman UT 84096-6919 Ph: (801) 455-0150 | Megan Komatsu Inc. 10815 700 East Sandy UT 84070 Ph: (801) 455-0150 |
| NPI Number | 1639777568 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639777568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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