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905 N 1000 W Tremonton UT 84337-9356 | |
(435) 207-4500 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 905 N 1000 W, Tremonton, Utah |
Authorized Official Name and Position | Denis Smith (CFO) |
Authorized Official Contact | 8014422000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | 905 N 1000 W Tremonton UT 84337-9356 Ph: (435) 207-4500 |
NPI Number | 1518978733 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 11/16/2022 |
Identifier | Type | State | Issuer |
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1518978733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 2005-HOSP-166 (Utah) | Primary |