Medallus Medical | |
2450 Executive Parkway Lehi UT 84043-3737 | |
(801) 753-5555 | |
(801) 260-1441 |
Full Name | Medallus Medical |
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Speciality | Family Medicine |
Location | 2450 Executive Parkway, Lehi, Utah |
Authorized Official Name and Position | Rachot Vacharothone (OWNER / CEO) |
Authorized Official Contact | 8012601919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medallus Medical Po Box 95970 South Jordan UT 84095-0970 Ph: (801) 352-9500 | Medallus Medical 2450 Executive Parkway Lehi UT 84043-3737 Ph: (801) 753-5555 |
NPI Number | 1669862447 |
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Provider Enumeration Date | 01/30/2015 |
Last Update Date | 07/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669862447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Utah) | Primary |
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