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Contact Information

WEST VALLEY FAMILY AND PREVENTIVE MEDICINE
4100 SOUTH 1778 WEST
WEST VALLEY CITY, UT84119
 Phone: 801-964-8726
 Fax: 801-968-9836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WEST VALLEY FAMILY AND PREVENTIVE MEDICINE · (Female)

NPI # 1326169632
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2007
Last updated 04/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid 480025031002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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