Organization
DIRECT CARE MEDICAL HOME CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHOT K VACHAROTHONE MD (OWNER/ URGENT CARE PHYSICIAN)
(801) 260-1919
Entity
Organization
Contact information
Practice address
7611 S JORDAN LANDING BLVD STE 200, WEST JORDAN, UT 84084-5612
(801) 260-1919
(801) 260-1441
Mailing address
7611 S JORDAN LANDING BLVD STE 200, WEST JORDAN, UT 84084-5612
(801) 260-1919
(801) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
UT
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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