Organization
MED ONE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R TREACY (OWNER)
(801) 566-6433
Entity
Organization
Contact information
Practice address
6965 UNION PARK CTR, #400, MIDVALE, UT 84047-6008
(801) 566-6433
(801) 304-0076
Mailing address
6965 UNION PARK CTR, #400, MIDVALE, UT 84047-6008
(801) 566-6433
(801) 304-0076
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
17686
UT
Other
Enumeration date
07/08/2005
Last updated
08/22/2020
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