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Organization
THE CLINIC, PC
Active
Organization
THE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J PHILLIPS (ADMINISTRATOR)
(801) 855-3844
Entity
Organization
Contact information
Practice address
76 E COMMERCE DR STE 204, SARATOGA SPRINGS, UT 84045-4024
(801) 766-8427
(801) 766-5657
Mailing address
226 N 1100 E STE A, AMERICAN FORK, UT 84003-2054
(801) 855-3843
(801) 855-3854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/26/2012
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