| Little S Clinic Llc | |
|
200 S 4200 W Parowan UT 84761-1330 | |
| (435) 559-5840 | |
| Not Available |
| Full Name | Little S Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 S 4200 W, Parowan, Utah |
| Authorized Official Name and Position | Ellen Gardner (OWNER) |
| Authorized Official Contact | 4355595840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little S Clinic Llc 200 S 4200 W Parowan UT 84761-1330 Ph: () - | Little S Clinic Llc 200 S 4200 W Parowan UT 84761-1330 Ph: (435) 559-5840 |
| NPI Number | 1164763736 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 05/02/2013 |
| Medicare PECOS PAC ID | 4981842168 |
|---|---|
| Medicare Enrollment ID | O20130529000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164763736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellen F Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013939024 PECOS PAC ID: 6507805348 Enrollment ID: I20050429000951 |
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