Individual
GRACE KIM HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1225 E FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047-1889
(801) 233-4400
(801) 233-4410
Mailing address
1225 E FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047-1889
(801) 233-4400
(801) 233-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53924561204
UT
Other
Enumeration date
08/09/2006
Last updated
01/25/2022
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