Physician Management Services Of Utah, Llc | |
155 W Canyon Crest Rd Alpine UT 84004-1819 | |
(888) 829-8550 | |
Not Available |
Full Name | Physician Management Services Of Utah, Llc |
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Speciality | Family Medicine |
Location | 155 W Canyon Crest Rd, Alpine, Utah |
Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
Authorized Official Contact | 8888298550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Physician Management Services Of Utah, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Utah, Llc 155 W Canyon Crest Rd Alpine UT 84004-1819 Ph: (888) 829-8550 |
NPI Number | 1629699749 |
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Provider Enumeration Date | 04/29/2020 |
Last Update Date | 04/29/2020 |
Identifier | Type | State | Issuer |
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1629699749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alpine Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004 Phone: 801-763-9851 Fax: 801-763-9852 |