Organization
PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
Active
Parent organization
PREMIER FAMILY MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER FAMILY MEDICAL
Authorized official
HEATHER GUYMON (CREDENTIALING SPECIALIST)
(801) 769-2571
Entity
Organization
Contact information
Practice address
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5543
(801) 756-3511
(801) 756-1705
Mailing address
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5543
(801) 789-5566
(801) 642-2941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
03/22/2024
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