Provider Demographics
NPI:1700604055
Name:GARCIA, FRANK P JR
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 S STATE ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-5584
Mailing Address - Country:US
Mailing Address - Phone:801-919-4995
Mailing Address - Fax:
Practice Address - Street 1:1385 S STATE ST FL 4
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-5584
Practice Address - Country:US
Practice Address - Phone:801-919-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator