Organization
GUARDIAN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAD TILLOTSON NP (CEO/OWNER)
(801) 404-9662
Entity
Organization
Contact information
Practice address
4612 N INDEPENDENCE WAY, EAGLE MOUNTAIN, UT 84005-6082
(801) 404-9662
Mailing address
4612 N INDEPENDENCE WAY, EAGLE MOUNTAIN, UT 84005-6082
(801) 404-9662
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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