| Onsite Care At Overstock | |
|
779 W Coliseum Way Midvale UT 84047-4867 | |
| (801) 441-1002 | |
| Not Available |
| Full Name | Onsite Care At Overstock |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 779 W Coliseum Way, Midvale, Utah |
| Authorized Official Name and Position | Darce Latsis (OPERATIONS MANAGER) |
| Authorized Official Contact | 8014411002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onsite Care At Overstock 560 S 300 E Ste 275 Salt Lake City UT 84111-3586 Ph: (801) 441-1002 | Onsite Care At Overstock 779 W Coliseum Way Midvale UT 84047-4867 Ph: (801) 441-1002 |
| NPI Number | 1922542091 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922542091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 129931 (Utah) | Primary |
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