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Organization

THE CLINIC, PC

Active
Other names
American Fork Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY J PHILLIPS (ADMINISTRATOR)
(801) 855-3844
Entity
Organization

Contact information

Practice address
226 N 1100 E, SUITE A, AMERICAN FORK, UT 84003-2054
(801) 855-3843
(801) 855-3854
Mailing address
226 N 1100 E, SUITE A, AMERICAN FORK, UT 84003-2054
(801) 855-3843
(801) 855-3854

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
12/16/2011
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