| Organization Name: | FREEDOM HEALTHCARE, LLC |
| NPI Number: | 1770916306 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROB B HORSLEY (CEO) |
| Mailing Address: | 8899 S 700 E Ste 250 Sandy |
| State: | UT US |
| Postal Code: | 840701810 |
| Phone Number: | 8016132711 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7465201-1204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |