Integrated Functional Medicine

LBN: Integrated Functional Medicine
Integrated Functional Medicine is an health care organization with primary practice located at 458 N 500 W , Bountiful UT 84010-6948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Integrated Functional Medicine can be contacted via phone (801) 292-9355, or through Frogley, Cory via phone (801) 292-9355.

Contact Information

Primary practice address
458 N 500 W Bountiful UT 84010-6948
Fax: (801) 296-8050
Website:
Authorized official contact:
Name: Frogley, Cory

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1629407697
LBN Legal business name Integrated Functional Medicine
DBA Doing business as
Authorized official Frogley, Cory
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2013
Last updated Nov 11th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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