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Organization
ALEXANDERS FITNESS COMPANY LLC
Active
Organization
ALEXANDERS FITNESS COMPANY LLC
Active
Other names
ALX Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRAFF RANDLE MD (AUTHORIZED OFFICIAL)
(802) 262-8486
Entity
Organization
Contact information
Practice address
245 S 1060 W, LINDON, UT 84042-1606
(385) 306-1222
Mailing address
1160 E 3900 S STE 4000, SALT LAKE CITY, UT 84124-1264
(801) 262-8486
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/24/2020
Last updated
06/29/2020
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