Organization
BENITA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY MORRIS III M.D, (OWNER)
(801) 973-7636
Entity
Organization
Contact information
Practice address
3465 PIONEER PKWY, STE 2, WEST VALLEY CITY, UT 84120-2076
(801) 963-7636
(801) 963-8130
Mailing address
3465 S 4155 W, STE 2, WEST VALLEY CITY, UT 84120
(801) 963-7636
(801) 963-8130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
932651751205
UT
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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