Elk Ridge Family Practice PC

NPI #1356519656 in Payson, Utah

Provider Information

NPI Number: 1356519656
Entity Type: Organization
Organization Name: Elk Ridge Family Practice PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 20, 2008
Last Updated: Nov 1, 2012

Practice Location

Address: 1172 E 100 N STE 11
City: Payson
State: Utah
ZIP Code: 84651-1668
Phone: (801) 465-6100

Authorized Official

Name: DENNIS MICHAEL CONCOBY, D.O
Title: PRESIDENT
Phone: (801) 465-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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