| Alta View Senior Clinic | |
|
9720 S 1300 E Ste E240 Sandy UT 84094-3795 | |
| (801) 501-2025 | |
| Not Available |
| Full Name | Alta View Senior Clinic |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 9720 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta View Senior Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 501-2025 | Alta View Senior Clinic 9720 S 1300 E Ste E240 Sandy UT 84094-3795 Ph: (801) 501-2025 |
| NPI Number | 1508145111 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508145111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 6012011 (Utah) | Primary |
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