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805 W Main St Ste C Tremonton UT 84337-2608 | |
(435) 257-0106 | |
(435) 257-0106 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 805 W Main St Ste C, Tremonton, Utah |
Authorized Official Name and Position | Leland Phelps (OWNER) |
Authorized Official Contact | 4352570106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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805 W Main St Ste C Tremonton UT 84337-2608 Ph: (435) 257-0106 | 805 W Main St Ste C Tremonton UT 84337-2608 Ph: (435) 257-0106 |
NPI Number | 1548715378 |
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Provider Enumeration Date | 08/22/2016 |
Last Update Date | 08/22/2016 |
Identifier | Type | State | Issuer |
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1548715378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 9183824-1202 (Utah) | Primary |