Organization · Type 2 NPI

Integrated Functional Medicine

General Practice Physician · Bountiful, UT

NPI number 1629407697 Active

Practice location

458 N 500 W
Bountiful, UT 84010-6948

Fax (801) 296-8050

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

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About NPI 1629407697

Integrated Functional Medicine's National Provider Identifier is 1629407697, issued on Nov 11, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bountiful, UT. The record was last updated on Nov 11, 2013.