Pioneer Comprehensive Medical, Llc in Draper - Family
Pioneer Comprehensive Medical, Llc - NPI 1891975595
Pioneer Comprehensive Medical, Llc is a Family in Draper, Utah. Pioneer Comprehensive Medical, Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Pioneer Comprehensive Medical, Llc is 1891975595. The last update date is 2023-12-07.
Pioneer Comprehensive Medical, Llc's current location address is 12433 Fort St, Draper, Utah. You can contact this provider via phone number 8015761086 and fax number 8015769796. The mailing address for Pioneer Comprehensive Medical, Llc is 12433 Fort St, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pioneer Comprehensive Medical, Llc |
|---|---|
| Address | 12433 Fort St, Draper, Utah |
| Phone Number | 8015761086 |
| Fax Number | 8015769796 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Olsen Robin |
| Telephone Number | 8015761086 |
NPI Number Detail
| NPI Number | 1891975595 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 12433 Fort St |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 840209363 |
| Phone Number | 8015761086 |
| Fax Number | 8015769796 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Pioneer Comprehensive Medical, Llc's unique identification number?
The Pioneer Comprehensive Medical, Llc has been assigned the NPI (National Provider Identifier) Number 1891975595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Pioneer Comprehensive Medical, Llc?
The Pioneer Comprehensive Medical, Llc is physically situated at 12433 Fort St, in the city of Draper, state of UT, with the postal code 840209363.
What is Pioneer Comprehensive Medical, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pioneer Comprehensive Medical, Llc is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891975595 to Pioneer Comprehensive Medical, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1891975595 to Pioneer Comprehensive Medical, Llc on 2007-11-09.
When was the information regarding Pioneer Comprehensive Medical, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pioneer Comprehensive Medical, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-12-07.
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