Integrated Wellcare, Llc.

NPI #1982928545 in West Jordan, Utah

Provider Information

NPI Number: 1982928545
Entity Type: Organization
Organization Name: Integrated Wellcare, Llc.
Primary Specialty: General Practice
Enumeration Date: Mar 25, 2010
Last Updated: Mar 25, 2010

Practice Location

Address: 5168 CRUS CORVI RD
City: West Jordan
State: Utah
ZIP Code: 84081-5336
Phone: (801) 358-7567

Authorized Official

Name: MR. JAMISON SIVULICH
Title: MANAGING MEMBER
Phone: (801) 358-7567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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