COMPREHENSIVE FAMILY CLINIC is a general practice in Salt Lake City, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee COMPREHENSIVE FAMILY CLINIC NPI is 1528204922. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeside Medical.
The provider's business location address is:
4701 W 2100 S
BUILDING 3
SALT LAKE CITY, UT
ZIP 84120-223
Phone: (801) 974-3382
Fax: (801) 974-3295
The provider's authorized official is Erik Moll .
The authorized official title is Medical Director and has the following contact phone number (801) 974-3382.
The CLIA number assigned to this NPI record is 05D2257799 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/6/2009 and was last updated on 1/7/2009.