Organization
MOBILE DOCS UTAH, LLC
Active
Parent organization
MOBILE DOCS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOBILE DOCS LLC
Authorized official
ROBERT BUCKHANNON (MEMBER)
(310) 654-4155
Entity
Organization
Contact information
Practice address
881 W BAXTER DR STE 100, SOUTH JORDAN, UT 84095-8506
(310) 654-4155
Mailing address
881 W BAXTER DR STE 100, SOUTH JORDAN, UT 84095-8506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/19/2021
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