Step Mountain Medical | |
2332 W 12600 S Ste 2c Riverton UT 84065-7173 | |
(801) 446-2760 | |
Not Available |
Full Name | Step Mountain Medical |
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Speciality | Clinic/center - Primary Care |
Location | 2332 W 12600 S Ste 2c, Riverton, Utah |
Authorized Official Name and Position | Kirt Webb Larson (OWNER) |
Authorized Official Contact | 8014462460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Step Mountain Medical 2332 South 12600 South Suite 2c Riverton UT 84065-7173 Ph: (801) 446-2760 | Step Mountain Medical 2332 W 12600 S Ste 2c Riverton UT 84065-7173 Ph: (801) 446-2760 |
NPI Number | 1194134775 |
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Provider Enumeration Date | 08/07/2014 |
Last Update Date | 08/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194134775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2114514405 (Utah) | Primary |
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