Physician Management Services of Utah Ii, LLC
NPI #1134893548 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1134893548
- Entity Type
- Organization
- Organization Name
- Physician Management Services of Utah Ii, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VAXCARE CORPORATION
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Aug 9, 2021
Practice Location
- Address
- 24 S 1100 E STE 310
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-4507
- Phone
- (888) 829-8550
Authorized Official
- Name
- BRETT KENEFICK
- Title
- PRESIDENT
- Phone
- (888) 829-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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