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Organization

WORK CARE-SOUTH SIDE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK V ANDERSON MD (PRESIDENT)
(801) 975-1600
Entity
Organization

Contact information

Practice address
12422 S 450 E, DRAPER, UT 84020-8050
(801) 748-1600
(801) 748-1601
Mailing address
PO BOX 271395, SALT LAKE CITY, UT 84126-0692
(801) 748-1600
(801) 748-1601

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
UT

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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