Organization
PREMIER FAMILY MEDICAL - VINEYARD
Active
Parent organization
PREMIER FAMILY MEDICAL
Other names
Premier Family Medical - Vineyard
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
707 E MILL RD STE 303, VINEYARD, UT 84059-5730
(801) 224-1300
(801) 225-3236
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 769-2560
(801) 443-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
03/22/2024
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