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NPI Code Detail

MEDICARE: HOLLADAY FAMILY PRACTICE

MEDICARE: HOLLADAY FAMILY PRACTICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316058670OTHERUTNPI

General Provider Information

NPI Number : 1437255866
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLLADAY FAMILY PRACTICE
Provider Business Mailing Address
First Line : 999 MURRAY HOLLADAY RD
Second Line : SUITE 207
City : SALT LAKE CITY
State : UT
Zip : 84117-4901
Country : US
Telephone Number : 801-268-2584
Fax Number : 801-262-1168
Provider Business Practice Location Address
First Line : 999 MURRAY HOLLADAY RD
Second Line : SUITE 207
City : SALT LAKE CITY
State : UT
Zip : 84117-4901
Country : US
Telephone Number : 801-268-2584
Fax Number : 801-262-1168
Authorized Official
Title or Position : SENIOR PARTNER
Name : DR. BRIAN C RASMUSSEN
Credential : M.D.
Telephone Number : 801-268-2584
Provider Enumeration Date : 09/15/2006
Last Update Date : 08/05/2011

Similar Medicare Providers

1659350049 — DR. DON L REESE M.D.
Practice Location Address:
999 MURRAY HOLLADAY RD , SUITE 207
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-268-2584
Practice Fax: 801-262-1168
1710952791 — CAROL A WARNICK NP
Practice Location Address:
999 MURRAY HOLLADAY RD , SUITE 207
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-268-2584
Practice Fax: 801-262-1168
1811962939 — RANDALL P DAYNES MD
Practice Location Address:
999 MURRAY HOLLADAY RD , SUITE 207
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-268-2584
Practice Fax: 801-262-1168
1679548564 — DR. DAVID C LARSEN MD
Practice Location Address:
999 MURRAY HOLLADAY RD , SUITE 207
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-268-2584
Practice Fax: 801-262-1168
1396710281 — DR. GENE R FULLER MD
Practice Location Address:
999 MURRAY HOLLADAY RD , SUITE 207
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-268-2584
Practice Fax: 801-262-1168
1982867008 — KATHERINE WARD MUNT MD
Practice Location Address:
999 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4901
Practice Phone: 801-965-3600
Practice Fax:

Directions to “HOLLADAY FAMILY PRACTICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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