| |
380 W 100 N Monticello UT 84535-0308 | |
(801) 507-3500 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 380 W 100 N, Monticello, Utah |
Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
Authorized Official Contact | 8014421425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 507-3533 | 380 W 100 N Monticello UT 84535-0308 Ph: (801) 507-3500 |
NPI Number | 1043444805 |
---|---|
Provider Enumeration Date | 05/08/2009 |
Last Update Date | 05/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043444805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |