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Organization
FOOTHILL CLINIC, LLC
Active
Organization
FOOTHILL CLINIC, LLC
Active
Other names
Foothill Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAN C. HENRY JR. M.D. (AUTHORIZED OFFICIAL)
(801) 486-3021
Entity
Organization
Contact information
Practice address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Mailing address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
09/15/2008
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