Organization
MMPS MURRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE PENROD CEO (CEO)
(801) 284-1705
Entity
Organization
Contact information
Practice address
5323 WOODROW ST, MURRAY, UT 84107-5841
(801) 713-0600
(801) 713-0601
Mailing address
5323 WOODROW ST, MURRAY, UT 84107-5841
(801) 713-0600
(801) 713-0601
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
5032435-0160
UT
261QR0200X
Radiology Clinic/Center
5032435-0160
UT
Other
Enumeration date
05/27/2006
Last updated
02/15/2017
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