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Bountiful Diabetes Clinic Llc
Specialist in Bountiful, Utah
NPI 1043456999

Bountiful Diabetes Clinic Llc is a Specialist based in Bountiful, UT. Bountiful Diabetes Clinic Llc practices in Bountiful, UT. The NPI Number for Bountiful Diabetes Clinic Llc is 1043456999 and holds a License No. 200836457 (Utah).

The current practice location address for Bountiful Diabetes Clinic Llc is 440 Medical Dr., Bountiful, UT and can be reached out via phone at 801-294-0191. You can also correspond with Bountiful Diabetes Clinic Llc through the mailing address at 1560 SOUTH RENAISSANCE TOWN DRIVE #250, BOUNTIFUL, UT - 84010 (mailing address contact number: 801-294-0191).

Location: 440 Medical Dr., Bountiful, UT, 84010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043456999
Provider Name
Bountiful Diabetes Clinic Llc
Credential
Provider Entity Type
Organization
Address
440 Medical Dr., Bountiful, UT, 84010
Phone Number
801-294-0191
Fax Number
Provider Enumeration Date
12/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 Medical Dr.
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-294-0191
Fax Number
person
Provider Business Mailing Address Details
Address
440 Medical Dr.
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-294-0191
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
200836457 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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