Concord Premium Group
NPI #1255665162 in American Fork, Utah
Provider Information
- NPI Number
- 1255665162
- Entity Type
- Organization
- Organization Name
- Concord Premium Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 24, 2009
- Last Updated
- Oct 16, 2009
Practice Location
- Address
- 356 N 750 W
- Address 2
- STE D9-213
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-1678
- Phone
- (801) 300-5159
Authorized Official
- Name
- DANIEL W THOMPSON
- Title
- CEO
- Phone
- (801) 300-5159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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