| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 310 S 100 E, Kanab, Utah |
| Authorized Official Name and Position | Hernan Javier Garreaud (OWNER) |
| Authorized Official Contact | 4356890000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
310 S 100 E Kanab UT 84741-3681 Ph: (435) 644-2225 | 310 S 100 E Kanab UT 84741-3681 Ph: (435) 644-2225 |
| NPI Number | 1447709704 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447709704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3921 (Utah) | Primary |
High Desert Chiropractic And Wellness, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 100 E, Suite #8, Kanab, UT 84741 Phone: 435-644-2225 Fax: 435-553-0941 | |