| Concord Premium Group | |
|
356 N 750 W Ste D9-213 American Fork UT 84003-1678 | |
| (801) 300-5159 | |
| Not Available |
| Full Name | Concord Premium Group |
|---|---|
| Speciality | Family Medicine |
| Location | 356 N 750 W, American Fork, Utah |
| Authorized Official Name and Position | Daniel W Thompson (CEO) |
| Authorized Official Contact | 8013005159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Premium Group 356 N 750 W Ste D9-213 American Fork UT 84003-1678 | Concord Premium Group 356 N 750 W Ste D9-213 American Fork UT 84003-1678 Ph: (801) 300-5159 |
| NPI Number | 1255665162 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255665162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3713101205 (Utah) | Primary |
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