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1578869954
DIRECTMD, LLC
SALT LAKE CITY, UT
NPI
1578869954
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Entity Type
Organization
Authorized Contact
GARY J MACKELPRANG
Managing Partner
801-870-8500
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
DIRECTMD, LLC
SALT LAKE COUNTY GOVERNMENT CTR 2001 SOUTH STATE STREET, STE S2400
SALT LAKE CITY, UT 84190-0001
Phone number: 801-870-8500
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Mailing Address
DIRECTMD, LLC
PO BOX 671
FARMINGTON, UT 84025-0671
Phone number: 801-870-8500
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