Organization
ONSITE CARE AT DAVIS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARCE LATSIS (OPERATIONS MANAGER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
1508 W ANTELOPE DR., SUITE 110, LAYTON, UT 84041
(801) 807-7699
(801) 807-7644
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
01/30/2020
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