Highland Medical Pllc

NPI #1215010327 in Salt Lake City, Utah

Provider Information

NPI Number: 1215010327
Entity Type: Organization
Organization Name: Highland Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 23, 2006
Last Updated: Mar 10, 2008

Practice Location

Address: 4460 HIGHLAND DR
Address 2: STE 400
City: Salt Lake City
State: Utah
ZIP Code: 84124-3565
Phone: (801) 272-4111

Authorized Official

Name: DEREK DAVID MUSE, MD
Title: MANAGER
Phone: (801) 272-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Preferred Provider Organization	305R00000X

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