| Intermountain Manti Clinic | |
|
159 N Main St Manti UT 84642-1257 | |
| (435) 835-3344 | |
| Not Available |
| Full Name | Intermountain Manti Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 159 N Main St, Manti, 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 |
|---|---|
| Intermountain Manti Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 835-3344 | Intermountain Manti Clinic 159 N Main St Manti UT 84642-1257 Ph: (435) 835-3344 |
| NPI Number | 1356485411 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356485411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1066 (Utah) | Primary |
| 207V00000X | Obstetrics & Gynecology | 1066 (Utah) | Secondary |
Main Street Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 S Main St, Manti, UT 84642 Phone: 435-835-7246 | |
Main Street Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 N Main St, Manti, UT 84642 Phone: 435-835-6000 Fax: 435-835-6004 |