| Box Elder Clinic | |
|
1050 S 500 W Brigham City UT 84302-4715 | |
| (435) 695-2700 | |
| Not Available |
| Full Name | Box Elder Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 S 500 W, Brigham City, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Box Elder Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-3631 | Box Elder Clinic 1050 S 500 W Brigham City UT 84302-4715 Ph: (435) 695-2700 |
| NPI Number | 1790169654 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790169654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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