Riverton Family Health Center Llc | |
1756 Park Ave Riverton UT 84065-4701 | |
(801) 254-0309 | |
(801) 254-1012 |
Full Name | Riverton Family Health Center Llc |
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Speciality | Family Medicine |
Location | 1756 Park Ave, Riverton, Utah |
Authorized Official Name and Position | Ricky Dyson (OM) |
Authorized Official Contact | 8012540309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Riverton Family Health Center Llc 1756 Park Ave Riverton UT 84065-4701 Ph: (801) 254-0309 | Riverton Family Health Center Llc 1756 Park Ave Riverton UT 84065-4701 Ph: (801) 254-0309 |
NPI Number | 1528055431 |
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Provider Enumeration Date | 10/05/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528055431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23511 (Utah) | Primary |
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