Blendtec Health Center
Family Medicine in Orem, UT. Organization (NPI-2).
NPI number1972024586
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1972024586
- Entity type
- Organization (NPI-2)
- Legal business name
- Blendtec Health Center
- Organization subpart
- Yes
- Enumeration date
- Jul 5, 2017
- Certification date
- Jan 30, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10332017-1725 | UT | Yes |
Other names
- Blendtec Health And Wellness Center (Doing Business As)
Practice location
1206 S 1680 WOrem, UT 84058-4938
Phone 801-225-1281 · Fax 801-225-1282
Mailing address
560 S 300 E Ste 275Salt Lake City, UT 84111-3586
Phone 801-441-1002
Authorized official
Darce Latsis
Operations Manager
8012251281
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