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Organization

PIACITELLI FM LLC

Active
Other names
Annliza Piacitelli MD
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE ALLRED (MANAGER)
(801) 285-8848
Entity
Organization

Contact information

Practice address
1868 W 9800 S STE 100, SOUTH JORDAN, UT 84095-4713
(801) 433-2873
(801) 433-5734
Mailing address
1868 W 9800 S STE 100, SOUTH JORDAN, UT 84095-4713
(801) 433-2873

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7734880-1205
UT

Other

Enumeration date
09/28/2017
Last updated
08/28/2023
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