Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERIC M CIVISH III
Active Sole ProprietorDR. FREDERIC M CIVISH III is a Family Medicine healthcare provider located in WEST VALLEY, Utah. NPI 1124137278 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WEST VALLEY, UT
Registration Details
- NPI Number
- 1124137278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.95499164987 yrs)
- Last Updated
- Jan 23, 2017
- License
-
184916-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3534 S 6000 WWEST VALLEY, UT, 841282610Browse UT providers · Browse ZIP 84128
- Phone
- 8019696264
- Fax
- 8019696333
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WEST VALLEY, UT
| Name | Credential | NPI |
|---|---|---|
| JOHN B DAME | MD | 1922205947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.