NPI 1639466352

Syracuse Family & Occupational Medicine PLLC

Organisation Primary Care Clinic/Center Syracuse, UT

Practice location

Address: 1842 S 2000 W # 2, Syracuse, UT 84075-9626
Phone: (801) 774-7450
Fax: (801) 774-7452
Mailing address: 1842 S 2000 W #2, Syracuse, UT 84075-9626

Authorised official

Name: Donald R Hastie
Title: Owner / Operator
Phone: (801) 564-7091

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 7994885-0162 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1639466352
Entity type: Organization
NPI issued: 1 Jul 2011
Record last updated: 1 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.