Organization
GRATEFUL DIRECT PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY BRIAN WALSMAN (CLINIC MANAGER)
(956) 639-0644
Entity
Organization
Contact information
Practice address
8541 S REDWOOD RD STE B1, WEST JORDAN, UT 84088-9323
(801) 706-0171
Mailing address
8541 S REDWOOD RD STE B1, WEST JORDAN, UT 84088-9323
(801) 706-0171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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