| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 355 N Main St, Kanab, Utah |
| Authorized Official Name and Position | Stephen J Howells (CFO) |
| Authorized Official Contact | 4356445811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
355 N Main St Kanab UT 84741-3260 Ph: (435) 644-5811 | 355 N Main St Kanab UT 84741-3260 Ph: (435) 644-5811 |
| NPI Number | 1649455122 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649455122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2007-HOSP-425 (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 | |