MEDICARE: AUNE FAMILY MEDICINE, LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1467996496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUNE FAMILY MEDICINE, LLC

Provider Business Mailing Address
First Line	:	164 E 5900 S STE A107
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-7361
Country	:	US
Telephone Number	:	385-347-5935
Fax Number	:	801-290-2798

Provider Business Practice Location Address
First Line	:	164 E 5900 S STE A107
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-7361
Country	:	US
Telephone Number	:	385-347-5935
Fax Number	:	801-290-2798

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DAVID L AUNE
Credential	:	MD
Telephone Number	:	385-347-5935

Provider Enumeration Date	:	12/09/2016
Last Update Date	:	04/11/2020

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