Medical Director Services, LLC

NPI #1770751323 in Sandy, Utah

Provider Information

NPI Number: 1770751323
Entity Type: Organization
Organization Name: Medical Director Services, LLC
Primary Specialty: Specialist
Enumeration Date: Feb 18, 2008
Last Updated: Apr 17, 2008

Practice Location

Address: 50 E 9000 S
City: Sandy
State: Utah
ZIP Code: 84070-2201
Phone: (801) 561-9839

Authorized Official

Name: KAVITA G WILLESEN, M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (801) 809-9471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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