Work Care-South Side, LLC

NPI #1760773923 in Draper, Utah

Provider Information

NPI Number: 1760773923
Entity Type: Organization
Organization Name: Work Care-South Side, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 22, 2011
Last Updated: Apr 22, 2011

Practice Location

Address: 12422 S 450 E
City: Draper
State: Utah
ZIP Code: 84020-8050
Phone: (801) 748-1600

Authorized Official

Name: MR. MARK V ANDERSON, MD
Title: PRESIDENT
Phone: (801) 975-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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