| Amy De La Garza, Md | |
|
77 S 700 E Ste 220 Salt Lake City UT 84102-1162 | |
| (801) 910-6189 | |
| Not Available |
| Full Name | Amy De La Garza, Md |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 77 S 700 E Ste 220, Salt Lake City, Utah |
| Authorized Official Name and Position | Amy Noel De La Garza (OWNER) |
| Authorized Official Contact | 8019106189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy De La Garza, Md 1941 E Princeton Ave Salt Lake City UT 84108-1824 Ph: (801) 910-6189 | Amy De La Garza, Md 77 S 700 E Ste 220 Salt Lake City UT 84102-1162 Ph: (801) 910-6189 |
| NPI Number | 1487184610 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 06/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487184610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 10389489 (Utah) | Primary |
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