# NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC

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

## Provider details

- **NPI number:** 1487963112
- **Authorized official:** MR. BRANDON F. JONES (PARTNER)
- **Authorized official phone:** (801) 505-0820

## Contact information

- **Practice address:** 3263 S HIGHWAY 89, SUITE 300, BOUNTIFUL, UT 84010-8555
- **Practice address phone:** (801) 296-0600
- **Practice address fax:** (801) 298-0661
- **Mailing address:** 307 WEST 200 SOUTH, SUITE 3006, SALT LAKE CITY, UT 84101-1259
- **Mailing address phone:** (801) 451-6060
- **Mailing address fax:** (801) 363-2533

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010