SOUTHWEST FAMILY MEDICINE LLC NPI 1174707517

NPI Information

SOUTHWEST FAMILY MEDICINE, LLC is a family medicine in West Jordan, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHWEST FAMILY MEDICINE, LLC NPI is 1174707517. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1575 W 7000 S
WEST JORDAN, UT
ZIP 84084-431
Phone: (801) 569-9133
Fax: (801) 569-9103

The provider's authorized official is Randall L Watson .
The authorized official title is Md / Owner and has the following contact phone number (801) 569-9133.

The CLIA number assigned to this NPI record is 46D0949560 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/20/2007 and was last updated on 10/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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