Organization
WEST VALLEY FAMILY AND PREVENTIVE MEDICINE
Active
Other names
WEST VALLEY FAMILY AND PREVENTIVE MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JANAE CAMPBELL (MANAGER)
(801) 964-8726
Entity
Organization
Contact information
Practice address
4100 SOUTH 1778 WEST, WEST VALLEY CITY, UT 84119
(801) 964-8726
(801) 968-9836
Mailing address
3336 PIONEER PKWY, #302, WEST VALLEY CITY, UT 84120-2000
(801) 964-8726
(801) 968-9836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480025031002
—
UT
Enumeration date
04/03/2007
Last updated
04/12/2024
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