Diamond Springs Wellness Center Pc | |
210 E Main St Suite 101 Midway UT 84049-6806 | |
(435) 657-1777 | |
(435) 657-0098 |
Full Name | Diamond Springs Wellness Center Pc |
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Speciality | Family Medicine |
Location | 210 E Main St, Midway, Utah |
Authorized Official Name and Position | Judith S Moore (OWNER) |
Authorized Official Contact | 4356571777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diamond Springs Wellness Center Pc 210 E Main St Suite 101 Midway UT 84049-6806 Ph: (435) 657-1777 | Diamond Springs Wellness Center Pc 210 E Main St Suite 101 Midway UT 84049-6806 Ph: (435) 657-1777 |
NPI Number | 1780980391 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 01/28/2011 |
Identifier | Type | State | Issuer |
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1780980391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 180388-1204 (Utah) | Primary |