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Organization
SOUTHWEST FAMILY MEDICINE, LLC
Active
Organization
SOUTHWEST FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L WATSON MD (MD / OWNER)
(801) 569-9133
Entity
Organization
Contact information
Practice address
1575 W 7000 S, WEST JORDAN, UT 84084-3431
(801) 569-9133
(801) 569-9103
Mailing address
1575 W 7000 S, WEST JORDAN, UT 84084-3431
(801) 569-9133
(801) 569-9103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1756991205
UT
Other
Enumeration date
12/20/2007
Last updated
10/01/2008
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