Country Corner Family Medicine
Country Corner Family Medicine provides Family Medicine Physician services in Salt Lake City, Utah. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
5460 W Clernates DrSalt Lake City, UT 84118-8526
Phone: (435) 749-1488
Fax: (801) 880-2859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1801379193 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kortney McMullin — Owner · (435) 749-1488 |
| NPI enumerated | September 12, 2018 |
| Last updated in NPPES | September 12, 2018 |
| Mailing address | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 |
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