Direct Care Medical Home Clinic LLC
NPI #1730507161 in West Jordan, Utah
Provider Information
- NPI Number
- 1730507161
- Entity Type
- Organization
- Organization Name
- Direct Care Medical Home Clinic LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 2, 2014
- Last Updated
- Apr 2, 2014
Practice Location
- Address
- 7611 S JORDAN LANDING BLVD STE 200
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-5612
- Phone
- (801) 260-1919
Authorized Official
- Name
- DR. RACHOT K VACHAROTHONE, MD
- Title
- OWNER/ URGENT CARE PHYSICIAN
- Phone
- (801) 260-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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