LEGACY MEDICAL GROUP, LLC

TAYLORSVILLE, UT
NPI1447621685
Entity TypeOrganization
Authorized ContactKRISTINA MOSLEY-CARTER
Executive Director
801-833-0000
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2015-10-14
Last Update Date2015-11-09
Business Address
LEGACY MEDICAL GROUP, LLC
1020 W ATHERTON DR SUITE 220
TAYLORSVILLE, UT 84123-3470
Phone number: 801-833-0000
Mailing Address
LEGACY MEDICAL GROUP, LLC
1020 W ATHERTON DR SUITE 220
TAYLORSVILLE, UT 84123-3470
Phone number: 801-833-0000