Organization
ONSITE CARE CLINICS
Active
Other names
SCOPE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCE A. LATSIS CMA (OPERATIONS MANAGER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
10000 S CENTENNIAL PKWY, SUITE 235, SANDY, UT 84070-4148
(801) 568-4664
Mailing address
10000 S CENTENNIAL PKWY, SUITE 235, SANDY, UT 84070-4148
(801) 568-4664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
129931
UT
Other
Enumeration date
03/23/2016
Last updated
03/29/2016
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