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Organization
ONSITE CARE CLINICS
Active
Organization
ONSITE CARE CLINICS
Active
Other names
SCOPE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCE A. LATSIS CMA (OPERATIONS MANAGER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
10000 S CENTENNIAL PKWY, SUITE 235, SANDY, UT 84070-4148
(801) 568-4664
Mailing address
10000 S CENTENNIAL PKWY, SUITE 235, SANDY, UT 84070-4148
(801) 568-4664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
129931
UT
Other
Enumeration date
03/23/2016
Last updated
03/29/2016
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