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Integrated Functional Medicine
General Practice Physician in Bountiful, Utah
NPI 1629407697

Integrated Functional Medicine is a General Practice Physician based in Bountiful, UT. Integrated Functional Medicine practices in Bountiful, UT. The NPI Number for Integrated Functional Medicine is 1629407697 and holds a License No. (Utah).

The current practice location address for Integrated Functional Medicine is 458 N 500 W, Bountiful, UT and can be reached out via phone at 801-292-9355 and via fax at 801-296-8050.

Location: 458 N 500 W, Bountiful, UT, 84010-6948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629407697
Provider Name
Integrated Functional Medicine
Credential
Provider Entity Type
Organization
Address
458 N 500 W, Bountiful, UT, 84010-6948
Phone Number
801-292-9355
Fax Number
801-296-8050
Provider Enumeration Date
11/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
458 N 500 W
City
Bountiful
State
Utah
Zip
84010-6948
Phone Number
801-292-9355
Fax Number
801-296-8050
person
Provider Business Mailing Address Details
Address
458 N 500 W
City
Bountiful
State
Utah
Zip
84010-6948
Phone Number
801-292-9355
Fax Number
801-296-8050
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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