| Southridge Clinic Medical Specialties | |
|
3723 W 12600 S Ste 430 Riverton UT 84065-7296 | |
| (801) 442-1853 | |
| Not Available |
| Full Name | Southridge Clinic Medical Specialties |
|---|---|
| Speciality | Internal Medicine |
| Location | 3723 W 12600 S, Riverton, Utah |
| Authorized Official Name and Position | Linda C Leckman (C) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southridge Clinic Medical Specialties Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | Southridge Clinic Medical Specialties 3723 W 12600 S Ste 430 Riverton UT 84065-7296 Ph: (801) 442-1853 |
| NPI Number | 1770941726 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770941726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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