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Organization

SUMMIT VIEW MEDICAL, L. L. C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERNON D. POTTER M. D. (MANAGING MEMBER)
(801) 576-8988
Entity
Organization

Contact information

Practice address
9829 S 1300 E, SUITE 302, SANDY, UT 84094-4000
(801) 576-8988
(801) 576-9396
Mailing address
9829 S 1300 E, SUITE 101, SANDY, UT 84094-4000
(801) 576-8988
(801) 576-9396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2939081205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
394660823016
UT
Enumeration date
02/09/2007
Last updated
08/31/2012
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