Pioneer Comprehensive Medical LLC

NPI #1891975595 in Draper, Utah

Provider Information

NPI Number: 1891975595
Entity Type: Organization
Organization Name: Pioneer Comprehensive Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2007
Last Updated: Jan 2, 2024

Practice Location

Address: 12433 FORT ST
City: Draper
State: Utah
ZIP Code: 84020-9363
Phone: (801) 576-1086

Authorized Official

Name: ROBIN OLSEN
Title: OFFICE MANAGER
Phone: (801) 576-1086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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