NPI 1851785919

Independence Physician and Resource

Organisation General Practice Physician Bountiful, UT

Practice location

Address: 640 S 500 W, Bountiful, UT 84010-7210
Phone: (801) 298-1100
Fax: (801) 298-1988

Authorised official

Name: Daniel Frasure
Title: Managing Partner
Phone: (801) 698-8927

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Utah →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Utah →

Registry record

NPI: 1851785919
Entity type: Organization
NPI issued: 26 Mar 2015
Record last updated: 3 Apr 2015

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.