# THE ORTHOPEDIC CLINIC LC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Orthopedic Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033148986
- **Authorized official:** JONI P THOMAS (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (801) 314-4131

## Contact information

- **Practice address:** 5848 S FASHION BLVD STE 110, MURRAY, UT 84107-6121
- **Practice address phone:** (801) 314-4188
- **Practice address fax:** (801) 314-4015
- **Mailing address:** 5848 S FASHION BLVD STE 110, MURRAY, UT 84107-6121
- **Mailing address phone:** (801) 314-4188
- **Mailing address fax:** (801) 314-4015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/04/2023