| My Family Doctor Llc | |
|
877 E 12300 S Suite 201 Draper UT 84020 | |
| (801) 542-7111 | |
| (801) 542-7112 |
| Full Name | My Family Doctor Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 877 E 12300 S, Draper, Utah |
| Authorized Official Name and Position | Layne A Hermansen (OWNER) |
| Authorized Official Contact | 8015427111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Family Doctor Llc 877 E 12300 S Suite 201 Draper UT 84020 Ph: (801) 542-7111 | My Family Doctor Llc 877 E 12300 S Suite 201 Draper UT 84020 Ph: (801) 542-7111 |
| NPI Number | 1043375181 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043375181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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