Guardian Family Medicine
NPI #1164903233 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1164903233
- Entity Type
- Organization
- Organization Name
- Guardian Family Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 27, 2018
- Last Updated
- Aug 27, 2018
Practice Location
- Address
- 4612 N INDEPENDENCE WAY
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-6082
- Phone
- (801) 404-9662
Authorized Official
- Name
- MR. SHAD TILLOTSON, NP
- Title
- CEO/OWNER
- Phone
- (801) 404-9662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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