Organization
MEDICAL MINDSHARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE G BROWN (INCORPORATOR)
(801) 209-7232
Entity
Organization
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047-1436
(385) 420-0092
Mailing address
6771 S 900 E, MIDVALE, UT 84047-1436
(385) 420-0092
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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