Organization
BONNEVILLE MED PC
Active
Organization
BONNEVILLE MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITHA SADIQ MD (SOLE MEMBER)
(801) 389-1563
Entity
Organization
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(801) 389-1563
Mailing address
1685 STONE HOLLOW CT, BOUNTIFUL, UT 84010-1069
(801) 389-1563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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