DR. Frederic M Civish III
NPI #1124137278 in West Valley, Utah
Provider Information
- NPI Number
- 1124137278
- Entity Type
- Individual
- Name
- DR. Frederic M Civish III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jan 23, 2017
Practice Location
- Address
- 3534 S 6000 W
- City
- West Valley
- State
- Utah
- ZIP Code
- 84128-2610
- Phone
- (801) 969-6264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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