Organization
SAGE CLINIC
Active
Other names
OnSite Care Sage Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DARCE LATSIS (OPERATIONS MANAGER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
7285 WEST 21200 NORTH, PLYMOUTH, UT 84330
(435) 458-9205
(435) 458-2361
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
70619161204
UT
Other
Enumeration date
09/18/2015
Last updated
01/30/2020
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