# FOOTHILL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265513964
- **Authorized official:** DAN C. HENRY JR. M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (801) 486-3021

## Contact information

- **Practice address:** 6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
- **Practice address phone:** (801) 365-1032
- **Practice address fax:** (801) 365-1033
- **Mailing address:** 6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
- **Mailing address phone:** (801) 365-1032
- **Mailing address fax:** (801) 365-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 09/15/2008