Organization
METRODORA CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BITNER (MEDICAL STAFF OFFICE)
(385) 430-1430
Entity
Organization
Contact information
Practice address
3535 S MARKET ST, WEST VALLEY CITY, UT 84119-3635
(385) 430-1430
Mailing address
3535 S MARKET ST, WEST VALLEY CITY, UT 84119-3635
(385) 430-1431
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
—
—
170100000X
Ph.D. Medical Genetics
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
05/02/2024
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