# SOUTHWEST FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174707517
- **Authorized official:** RANDALL L WATSON MD (MD / OWNER)
- **Authorized official phone:** (801) 569-9133

## Contact information

- **Practice address:** 1575 W 7000 S, WEST JORDAN, UT 84084-3431
- **Practice address phone:** (801) 569-9133
- **Practice address fax:** (801) 569-9103
- **Mailing address:** 1575 W 7000 S, WEST JORDAN, UT 84084-3431
- **Mailing address phone:** (801) 569-9133
- **Mailing address fax:** (801) 569-9103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1756991205 | UT | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 10/01/2008