Organization
FOOTHILL FAMILY CLINC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER ALCORN (OFFICE MANAGER)
(801) 365-1032
Entity
Organization
Contact information
Practice address
6360 S 3000 E, SUITE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Mailing address
6360 S 3000 E, SUITE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870322013008
—
UT
Enumeration date
04/04/2006
Last updated
08/22/2020
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