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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

NPI # 1235266776
LBN Legal business name LEGACY MEDICAL PC
Authorized official OREN ALLDREDGE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 10/24/2007 - About 19 years ago
Identifiers
UT License # 155564-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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