Fjm Basecamp
Fjm Basecamp is a Family Medicine Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2017.
- Licensed in
- UT
- In the registry since
- 2017
Practice location Address checks out
185 S State St Ste 208Salt Lake City, UT 84111-1558
Phone: (801) 821-5454
Fax: (801) 821-5455
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 70786441205 (UT) |
|---|
Record details
| NPI number | 1255858734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Futura Medical Clinic |
| Authorized official | Darce Latsis — Operations Manager · (801) 441-1002 |
| Other names | Fjm Medical Clinic-Basecamp |
| NPI enumerated | August 25, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | January 30, 2020 |
| Mailing address | 560 S 300 E Ste 275, Salt Lake City, UT 84111-3586 |
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