| Snow College Sports Medicine | |
|
150 E. College Way Ephraim UT 84627 | |
| (800) 555-9073 | |
| (972) 367-3452 |
| Full Name | Snow College Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 150 E. College Way, Ephraim, Utah |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snow College Sports Medicine Po Box 650850 Dallas TX 75265-0850 Ph: (972) 367-4845 | Snow College Sports Medicine 150 E. College Way Ephraim UT 84627 Ph: (800) 555-9073 |
| NPI Number | 1730555400 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 10/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730555400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
Intermountain Ephraim Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 N Main St, Ephraim, UT 84627 Phone: 435-283-4076 Fax: 435-283-4078 | |
Central Utah Bariatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 W 700 S, Ephraim, UT 84627 Phone: 435-340-0942 Fax: 435-283-4412 | |
Intermountain Snow College Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 College Ave, Ephraim, UT 84627 Phone: 435-283-7216 |