Organization
MERIT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARCE LATSIS (OPERATIONS MANAGER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
1600 W MERIT PKWY, SOUTH JORDAN, UT 84095-2416
(801) 316-3900
(801) 316-3901
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49966461204
UT
Other
Enumeration date
10/10/2014
Last updated
01/30/2020
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