# EAST LAYTON INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Layton Medical CLinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770527871
- **Authorized official:** DAVID J. KANE (VP)
- **Authorized official phone:** (801) 568-5999

## Contact information

- **Practice address:** 1240 EAST HIGHWAY 193, SUITE G-1, LAYTON, UT 84040
- **Practice address phone:** (801) 475-8600
- **Practice address fax:** (801) 771-1330
- **Mailing address:** 1240 EAST HIGHWAY 193, SUITE G-1, LAYTON, UT 84040
- **Mailing address phone:** (801) 475-8600
- **Mailing address fax:** (801) 771-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 05/07/2008