FREDERIC M CIVISH

WEST VALLEY, UT
NPI1124137278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  184916-1205)
Enumeration Date2006-08-30
Last Update Date2017-01-23
Business Address
Dr. FREDERIC M CIVISH
3534 S 6000 W
WEST VALLEY, UT 84128-2610
Phone number: 801-969-6264
Mailing Address
Dr. FREDERIC M CIVISH
3354 W 7800 S
WEST JORDAN, UT 84088-4506
Phone number: 801-282-2677
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