| NPI | 1255858734 |
|---|---|
| Doing Business As | FJM MEDICAL CLINIC-BASECAMP |
| Entity Type | Organization |
| Authorized Contact | DARCE A LATSIS Operations Manager 801-441-1002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 70786441205) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |