Organization
CEDAR CREEK FAMILY HEALTH CARE LLC
Active
Other names
Majestic Oaks Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
LU ANN JACOBS-PETERSON APRN (FNP)
(801) 232-1998
Entity
Organization
Contact information
Practice address
453 N MAIN ST STE A, TOOELE, UT 84074-1654
(801) 232-1998
Mailing address
14540 MAJESTIC OAKS LN, HERRIMAN, UT 84096-3645
(801) 232-1998
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
219855-8900
UT
Other
Enumeration date
11/10/2008
Last updated
04/02/2010
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