I Clark Labrum Dc Pc | |
415 W Tabernacle St St George UT 84770-3797 | |
(435) 673-2700 | |
(434) 673-2714 |
Full Name | I Clark Labrum Dc Pc |
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Speciality | Clinic/center |
Location | 415 W Tabernacle St, St George, Utah |
Authorized Official Name and Position | I Clark Labrum (PRESIDENT) |
Authorized Official Contact | 43356732700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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I Clark Labrum Dc Pc 415 W Tabernacle St St George UT 84770-3797 Ph: (435) 673-2700 | I Clark Labrum Dc Pc 415 W Tabernacle St St George UT 84770-3797 Ph: (435) 673-2700 |
NPI Number | 1952686818 |
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Provider Enumeration Date | 10/11/2011 |
Last Update Date | 10/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952686818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 166111-1202 (Utah) | Primary |
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