| Fia Care | |
|
13894 S Bangerter Pkwy Ste 200 Draper UT 84020-5320 | |
| (801) 901-3603 | |
| Not Available |
| Full Name | Fia Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13894 S Bangerter Pkwy Ste 200, Draper, Utah |
| Authorized Official Name and Position | Stephen M Fabiano (CEO) |
| Authorized Official Contact | 9547023372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fia Care 10885 S Lostwood Dr Sandy UT 84092-4925 Ph: (954) 702-3372 | Fia Care 13894 S Bangerter Pkwy Ste 200 Draper UT 84020-5320 Ph: (801) 901-3603 |
| NPI Number | 1952902850 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952902850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | () | Secondary |
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