CONCORD PREMIUM GROUP

AMERICAN FORK, UT
NPI1255665162
Entity TypeOrganization
Authorized ContactDANIEL W THOMPSON
CEO
801-300-5159
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  3713101205)
Enumeration Date2009-09-24
Last Update Date2009-10-16
Business Address
CONCORD PREMIUM GROUP
356 N 750 W STE D9-213
AMERICAN FORK, UT 84003-1678
Phone number: 801-300-5159
Mailing Address
CONCORD PREMIUM GROUP
356 N 750 W STE D9-213
AMERICAN FORK, UT 84003-1678
Phone number: