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Contact Information

LEGACY MEDICAL PC
4400 S 700 E STE 140
SALT LAKE CITY, UT84107-3053
 Phone: 801-288-0067
 Fax: 801-288-0067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for LEGACY MEDICAL PC · (Female)

NPI Number 1235266776
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2007
Last updated 10/24/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 155564-1205
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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