Foothill Clinic, LLC
NPI #1265513964 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1265513964
- Entity Type
- Organization
- Organization Name
- Foothill Clinic, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Sep 15, 2008
Practice Location
- Address
- 6360 S 3000 E
- Address 2
- STE 100
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-6923
- Phone
- (801) 365-1032
Authorized Official
- Name
- DAN C. HENRY JR., M.D.
- Title
- AUTHORIZED OFFICIAL
- Phone
- (801) 486-3021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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