Organization
THYROID CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JOHN (CREDENTIALING)
(801) 231-6986
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 315, PROVO, UT 84604-3373
(385) 205-6510
(385) 375-6112
Mailing address
4465 S 900 E STE 200, SALT LAKE CITY, UT 84124-2695
(385) 205-6510
(385) 375-6112
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
01/25/2022
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