Organization
INTEGRATED PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLENE WATSON NP (OWNER)
(801) 419-0705
Entity
Organization
Contact information
Practice address
3018 E 3300 S, SALT LAKE CITY, UT 84109-2144
(801) 419-0705
(801) 606-7902
Mailing address
3018 E 3300 S, SALT LAKE CITY, UT 84109-2144
(801) 419-0705
(801) 606-7902
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
01/26/2018
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