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Organization

ATLAS INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAVITA G WILLESEN MD (OWNER)
(801) 845-3736
Entity
Organization

Contact information

Practice address
6965 S UNION PARK CTR STE 430, COTTONWOOD HEIGHTS, UT 84047-6507
(385) 308-8937
(801) 701-8308
Mailing address
8165 S WILLOW CREEK CV, COTTONWOOD HEIGHTS, UT 84093-6203
(801) 809-9471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/02/2021
Last updated
07/11/2022
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