Organization
PIONER VALLEY HOSPITAL INC
Active
Other names
The Senior Clinic at Pioneer Valley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SPACKMAN (CFO)
(801) 964-3104
Entity
Organization
Contact information
Practice address
3336 PIONEER PKWY, SUITE 302, WEST VALLEY CITY, UT 84120-2000
(801) 964-3763
(801) 964-3538
Mailing address
3336 PIONEER PKWY, SUITE 101, WEST VALLEY CITY, UT 84120-2000
(801) 964-3948
(801) 964-3635
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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