Organization · Type 2 NPI

Evergreen Clinic LLC

Family Medicine Physician · West Jordan, UT

NPI number 1689210551 Active

Practice location

1561 W 7000 S Ste 100
West Jordan, UT 84084-3556

Fax (801) 747-6881

Mailing address

PO Box 9193
Midvale, UT 84047-9170

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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.

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About NPI 1689210551

Evergreen Clinic LLC's National Provider Identifier is 1689210551, issued on Nov 25, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in West Jordan, UT. The record was last updated on Jan 13, 2020.