| Seraphine Med Taylorsville, Llc | |
|
6126 South Redwood Road Taylorsville UT 84123 | |
| (801) 966-9907 | |
| (801) 966-0298 |
| Full Name | Seraphine Med Taylorsville, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6126 South Redwood Road, Taylorsville, Utah |
| Authorized Official Name and Position | Robert Wendell Gneiting (MANAGING MEMBER) |
| Authorized Official Contact | 8019669907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seraphine Med Taylorsville, Llc Po Box 71218 Salt Lake City UT 84171-0218 Ph: (801) 966-9907 | Seraphine Med Taylorsville, Llc 6126 South Redwood Road Taylorsville UT 84123 Ph: (801) 966-9907 |
| NPI Number | 1013153311 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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