Salt Lake Valley Clinic LLC

NPI #1710339445 in Holladay, Utah

Provider Information

NPI Number
1710339445
Entity Type
Organization
Organization Name
Salt Lake Valley Clinic LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jul 6, 2016
Last Updated
Jul 6, 2016

Practice Location

Address
4141 S HIGHLAND DR STE 208
State
Utah
ZIP Code
84124-2656
Phone
(801) 593-6777

Authorized Official

Name
MR. TYLER DALLAS
Title
ADMINISTRATOR
Phone
(801) 593-6777

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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