| Alta View Clinic Internal Medicine | |
|
9844 S 1300 E #200 Sandy UT 84094-4673 | |
| (801) 572-1472 | |
| Not Available |
| Full Name | Alta View Clinic Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 9844 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHY EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta View Clinic Internal Medicine Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 572-1472 | Alta View Clinic Internal Medicine 9844 S 1300 E #200 Sandy UT 84094-4673 Ph: (801) 572-1472 |
| NPI Number | 1578697470 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578697470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 55887 (Utah) | Primary |
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