Organization
COUNTRY CORNER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY MCMULLIN NP (OWNER)
(435) 749-1488
Entity
Organization
Contact information
Practice address
5460 W CLERNATES DR, SALT LAKE CITY, UT 84118-8526
(435) 749-1488
(801) 880-2859
Mailing address
5460 W CLERNATES DR, SALT LAKE CITY, UT 84118-8526
(435) 749-1488
(801) 880-2859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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