Basin Medical Clinic Llc

NPI 1396838918 - Family Medicine - 207Q00000X

NPI Details
NPI 1396838918
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MONIQUE MONIQUE
Position ASST. MANAGER
Phone (435) 789-1165
Fax (435) 789-1169
Practice Location
379 NORTH 500 WEST
SUITE 1A
VERNAL UT, 84078, US
Phone (435) 789-1165
Fax (435) 789-1169
Business Location
379 NORTH 500 WEST
SUITE 1A
VERNAL UT, 84078, US
Phone (435) 789-1165
Fax (435) 789-1169
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Basin Medical Clinic Llc NPI is 1396838918, taxonomy code is 207Q00000X Basin Medical Clinic Llc physically located at 379 North 500 West, Vernal UT, 84078. NPI Number 1033115704 has the healthcare provider type.

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1396838918 NPI number is provided on an as is basis without warranty of any kind. 1396838918 is maintained by the National Plan & Provider Enumeration System. The contents of Basin Medical Clinic Llc are for informational purposes only.