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Organization

HERON MEDICAL PLLC

Active
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Organization

HERON MEDICAL PLLC

Active
Other names
Amy de la Garza, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY NOEL DE LA GARZA MD (OWNER)
(801) 910-6189
Entity
Organization

Contact information

Practice address
77 S 700 E STE 220, SALT LAKE CITY, UT 84102-1162
(801) 910-6189
Mailing address
1941 E PRINCETON AVE, SALT LAKE CITY, UT 84108-1824
(801) 910-6189

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
10389489
UT

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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