Organization
INTERVENTIONAL MEDICAL CENTER
Active
Other names
INTERVENTIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE N NGUYEN (MANAGER)
(801) 679-3488
Entity
Organization
Contact information
Practice address
1972 W 5400 S, TAYLORSVILLE, UT 84129-1459
(801) 998-8256
(801) 849-0340
Mailing address
32 W WINCHESTER ST STE 100, MURRAY, UT 84107-5609
(801) 998-8256
(801) 849-0340
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/24/2017
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