| Rocky Mountain Clinical Llc | |
|
1594 W 300 N Pleasant Grove UT 84062 | |
| (801) 592-8536 | |
| Not Available |
| Full Name | Rocky Mountain Clinical Llc |
|---|---|
| Speciality | General Practice |
| Location | 1594 W 300 N, Pleasant Grove, Utah |
| Authorized Official Name and Position | Gary Garner (OWNER) |
| Authorized Official Contact | 8015928536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Clinical Llc 1594 W 3300 N Pleasant Grove UT 84062-9041 Ph: () - | Rocky Mountain Clinical Llc 1594 W 300 N Pleasant Grove UT 84062 Ph: (801) 592-8536 |
| NPI Number | 1194956342 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194956342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 150719-1205 (Utah) | Primary |
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