Garfield County

NPI 1013119155 - Clinic/Center - 261QR1300X

NPI Details
NPI 1013119155
Enumeration Date 06/01/2007
Last Updated 02/25/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALBERTO ALBERTO
Position ADMINISTRATOR
Phone (435) 679-8545
Fax
Practice Location
25 S REDROCK DR
CANNONVILLE UT, 84718-8001, US
Phone (435) 679-8545
Fax
Business Location
4646 LAKE PARK BLVD
SALT LAKE CITY UT, 84120-8212, US
Phone
Fax (801) 442-0066
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
Remove 1013119155 NPI Number
 

According to our database, Garfield County NPI is 1013119155, taxonomy code is 261QR1300X Garfield County physically located at 25 S Redrock Dr, Cannonville UT, 84718-8001. NPI Number 1033115704 has the healthcare provider type.

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1013119155 NPI number is provided on an as is basis without warranty of any kind. 1013119155 is maintained by the National Plan & Provider Enumeration System. The contents of Garfield County are for informational purposes only.