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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN CLINIC LLC

Active Organization

EVERGREEN CLINIC LLC is a Family Medicine organization located in WEST JORDAN, Utah. NPI 1689210551 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WEST JORDAN, UT

Registration Details

NPI Number
1689210551
Provider Type
Organization
NPI Issued
Nov 25, 2019 (6.7202768080215 yrs)
Last Updated
Jan 13, 2020

Practice Information

Address
1561 W 7000 S STE 100
WEST JORDAN, UT, 840843556
Browse UT providers · Browse ZIP 84084
Phone
8018501958
Fax
8017476881
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in WEST JORDAN, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.