Bountiful Diabetes Clinic LLC

NPI #1043456999 in Bountiful, Utah

Provider Information

NPI Number: 1043456999
Entity Type: Organization
Organization Name: Bountiful Diabetes Clinic LLC
Primary Specialty: Specialist
Enumeration Date: Dec 24, 2008
Last Updated: Dec 24, 2008

Practice Location

Address: 440 MEDICAL DR.
City: Bountiful
State: Utah
ZIP Code: 84010
Phone: (801) 294-0191

Authorized Official

Name: ALBERT BROWN
Title: OWNER
Phone: (801) 294-0191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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