EVERGREEN CLINIC 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. EVERGREEN CLINIC LLC NPI is 1689210551. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1561 W 7000 S STE 100
WEST JORDAN, UT
ZIP 84084-556
Phone: (801) 850-1958
Fax: (801) 747-6881
The provider's authorized official is Ignacio Nicolas Gonzalez .
The authorized official title is Administrator and has the following contact phone number (801) 850-1958.
The CLIA number assigned to this NPI record is 46D2267862 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/25/2019 and was last updated on 1/13/2020.