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Organization

TIMPANOGOS FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD NEAL HARLINE (MEDICAL DOCTOR)
(801) 426-8141
Entity
Organization

Contact information

Practice address
423 N OREM BLVD, OREM, UT 84057-8813
(801) 426-8141
(801) 426-8142
Mailing address
423 N OREM BLVD, OREM, UT 84057-8813
(801) 426-8141
(801) 426-8142

Taxonomy

Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
30880353-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008924101
SELECT HEALTH
UT
01
30880351204001
BLUE CROSS BLUE SHIELD
UT
01
46D0979491
CLIA
UT
05
552530959002
UT
Enumeration date
01/25/2007
Last updated
04/24/2017
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