| |
465 View Ln, Kamas, UT 84036-5537 | |
(949) 855-1333 | |
(435) 783-9286 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 465 View Ln, Kamas, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922128719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E2494 (California) | Primary |
Mailing Address | Practice Location Address |
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465 View Ln, Kamas, UT 84036-5537 Ph: (949) 855-1333 | 465 View Ln, Kamas, UT 84036-5537 Ph: (949) 855-1333 |