| Davis Endocrinology And Diabetes Llc | |
|
1492 W Antelope Dr Suite 115 Layton UT 84041-1139 | |
| (801) 776-8080 | |
| (801) 776-2888 |
| Full Name | Davis Endocrinology And Diabetes Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1492 W Antelope Dr, Layton, Utah |
| Authorized Official Name and Position | Khaldoun M Al-rayess (CEO / OWNER) |
| Authorized Official Contact | 8017768080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Endocrinology And Diabetes Llc Po Box 268 Bountiful UT 84011-0268 Ph: (801) 296-2113 | Davis Endocrinology And Diabetes Llc 1492 W Antelope Dr Suite 115 Layton UT 84041-1139 Ph: (801) 776-8080 |
| NPI Number | 1538445820 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538445820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 5804089-1205 (Utah) | Primary |
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