Seraphine Med Taylorsville, LLC
NPI #1013153311 in Taylorsville, Utah
Provider Information
- NPI Number
- 1013153311
- Entity Type
- Organization
- Organization Name
- Seraphine Med Taylorsville, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 17, 2008
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 6126 SOUTH REDWOOD ROAD
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84123
- Phone
- (801) 966-9907
Authorized Official
- Name
- MR. ROBERT WENDELL GNEITING, FNP
- Title
- MANAGING MEMBER
- Phone
- (801) 966-9907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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