| West Valley Specialty Clinic | |
|
5373 W Lake Park Blvd West Valley City UT 84127 | |
| (801) 442-1853 | |
| Not Available |
| Full Name | West Valley Specialty Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 5373 W Lake Park Blvd, West Valley City, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Specialty Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | West Valley Specialty Clinic 5373 W Lake Park Blvd West Valley City UT 84127 Ph: (801) 442-1853 |
| NPI Number | 1144678251 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144678251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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