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BENITA MEDICAL LLC

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1326263773
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3465 PIONEER PKWY STE 2, WEST VALLEY CITY, UT, 841202076
Phone
(801) 963-7636
Fax
(801) 963-8130

Specialties & Taxonomies

Family Medicine Primary License: UT #932651751205

All Addresses

MAILING

3465 S 4155 W STE 2

WEST VALLEY CITY, UT, 84120

(801) 963-7636

LOCATION

3465 PIONEER PKWY STE 2

WEST VALLEY CITY, UT, 841202076

(801) 963-7636