Organization
DIRECTMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J MACKELPRANG (MANAGING PARTNER)
(801) 870-8500
Entity
Organization
Contact information
Practice address
SALT LAKE COUNTY GOVERNMENT CTR, 2001 SOUTH STATE STREET, STE S2400, SALT LAKE CITY, UT 84190-0001
(801) 870-8500
(801) 467-8393
Mailing address
PO BOX 671, FARMINGTON, UT 84025-0671
(801) 870-8500
(801) 939-9998
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
UT
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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