Fjm Basecamp

NPI #1255858734 in Salt Lake City, Utah

Provider Information

NPI Number: 1255858734
Entity Type: Organization
Organization Name: Fjm Basecamp
Subpart: Yes (part of a larger organization)
Parent Organization: FUTURA MEDICAL CLINIC
Primary Specialty: Family Medicine
Enumeration Date: Aug 25, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 185 S STATE ST STE 208
City: Salt Lake City
State: Utah
ZIP Code: 84111-1558
Phone: (801) 821-5454

Authorized Official

Name: DARCE A LATSIS
Title: OPERATIONS MANAGER
Phone: (801) 441-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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