Organization
ANODYNE OF PARK CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG SIMONS (CEO)
(435) 640-1353
Entity
Organization
Contact information
Practice address
1790 SUN PEAK DR STE A102, PARK CITY, UT 84098-6651
(435) 640-1353
(435) 655-2984
Mailing address
1790 SUN PEAK DR STE A102, PARK CITY, UT 84098-6651
(435) 640-1353
(435) 655-2984
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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