| Layton Family Practice LLC | |
|
2950 N Church St Ste 200 Layton UT 84040-6590 | |
| (801) 771-7700 | |
| (801) 771-7799 |
| Full Name | Layton Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2950 N Church St Ste 200, Layton, Utah |
| Authorized Official Name and Position | William Tedrick Johnson (GROUP VP/AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Layton Family Practice LLC 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Layton Family Practice LLC 2950 N Church St Ste 200 Layton UT 84040-6590 Ph: (801) 771-7700 |
| NPI Number | 1538220306 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538220306 | NPI | - | NPPES |
| 1538220306 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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