Healthcare Provider Details

I. General information

NPI: 1437253440
Provider Name (Legal Business Name): DAVIS FAMILY PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 W GORDON AVE SUITE 1
LAYTON UT
84041-8769
US

IV. Provider business mailing address

3225 W GORDON AVE SUITE 1
LAYTON UT
84041-8769
US

V. Phone/Fax

Practice location:
  • Phone: 801-773-7232
  • Fax: 801-773-9577
Mailing address:
  • Phone: 801-773-7232
  • Fax: 801-773-9577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUE COOK
Title or Position: BUSINESS COORDINATOR
Credential:
Phone: 801-773-7232