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Individual

ALEX BENJAMIN FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 292-6100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 292-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9139045-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2013
Last updated
08/01/2016
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