| Nutcracker | |
|
251 West Hwy 198 Salem UT 84653-0786 | |
| (801) 423-3267 | |
| (801) 423-3276 |
| Full Name | Nutcracker |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 251 West Hwy 198, Salem, Utah |
| Authorized Official Name and Position | Phil Washburn (CLINICAL ADVISER) |
| Authorized Official Contact | 8014233267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutcracker Po Box 786 Salem UT 84653-0786 Ph: (801) 423-3267 | Nutcracker 251 West Hwy 198 Salem UT 84653-0786 Ph: (801) 423-3267 |
| NPI Number | 1093729048 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093729048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1460511205 (Utah) | Primary |
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