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Organization

WESTSIDE MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN SEPER (ADMINISTRATOR)
(801) 774-8888
Entity
Organization

Contact information

Practice address
1477 NORTH 2000 WEST, CLINTON, UT 84015-8213
(801) 774-8888
(801) 825-8519
Mailing address
1477 NORTH 2000 WEST, CLINTON, UT 84015-8213
(801) 774-8888
(801) 825-8519

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/01/2006
Last updated
10/05/2009
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