Sunrise Family Practice LLC
NPI #1386135762 in West Jordan, Utah
Provider Information
- NPI Number
- 1386135762
- Entity Type
- Organization
- Organization Name
- Sunrise Family Practice LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 22, 2018
- Last Updated
- Feb 14, 2019
Practice Location
- Address
- 8785 S JORDAN VALLEY WAY # 100
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9772
- Phone
- (385) 645-7474
Authorized Official
- Name
- JOLOLENE ALLAN, APRN
- Title
- OWNER
- Phone
- (385) 645-7474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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