Evergreen Clinic LLC
Evergreen Clinic LLC is a Family Medicine Physician in West Jordan, Utah. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1561 W 7000 S Ste 100West Jordan, UT 84084-3556
Phone: (801) 850-1958
Fax: (801) 747-6881
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1689210551 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ignacio Gonzalez — Administrator · (801) 850-1958 |
| NPI enumerated | November 25, 2019 |
| Last updated in NPPES | January 13, 2020 |
| Certification date | January 13, 2020 |
| Mailing address | Po Box 9193, Midvale, UT 84047-9170 |
Other providers in West Jordan
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James S Coy, DO
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Suzan Marie Curtis, NP
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Darren B. Jenkins, DO, PC
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Matthew Eastman, DO
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Randall R Fillmore, MD
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Jackie Anne Fonua, PA-C
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Jacob Samuel Forbes, DO
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Zachary Fredman, MD
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