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Organization
LAYTON FAMILY PRACTICE LLC
Active
Organization
LAYTON FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (GROUP VP/AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
2950 N CHURCH ST STE 200, LAYTON, UT 84040-6590
(801) 771-7700
(801) 771-7799
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
10/30/2020
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