| Premise Health Of Utah Medical, P.c | |
|
111 S Main St Salt Lake City UT 84111-2176 | |
| (801) 884-1801 | |
| (801) 884-1807 |
| Full Name | Premise Health Of Utah Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 111 S Main St, Salt Lake City, Utah |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Utah Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Utah Medical, P.c 111 S Main St Salt Lake City UT 84111-2176 Ph: (801) 884-1801 |
| NPI Number | 1790192235 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790192235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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