Organization
FOOTHILL CLINIC, LLC
Active
Other names
Foothill Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAN C. HENRY JR. M.D. (AUTHORIZED OFFICIAL)
(801) 486-3021
Entity
Organization
Contact information
Practice address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Mailing address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
09/15/2008
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