| Guardian Family Medicine | |
|
4612 N Independence Way Eagle Mountain UT 84005-6082 | |
| (801) 404-9662 | |
| Not Available |
| Full Name | Guardian Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4612 N Independence Way, Eagle Mountain, Utah |
| Authorized Official Name and Position | Shad Tillotson (CEO/OWNER) |
| Authorized Official Contact | 8014049662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Family Medicine 4612 N Independence Way Eagle Mountain UT 84005-6082 Ph: (801) 404-9662 | Guardian Family Medicine 4612 N Independence Way Eagle Mountain UT 84005-6082 Ph: (801) 404-9662 |
| NPI Number | 1164903233 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164903233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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