Rocky Mountain Clinical Llc

NPI 1194956342 - General Practice - 208D00000X

NPI Details
NPI 1194956342
Enumeration Date 08/06/2009
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (801) 592-8536
Fax
Practice Location
1594 W 300 N
PLEASANT GROVE UT, 84062, US
Phone (801) 592-8536
Fax
Business Location
1594 W 3300 N
PLEASANT GROVE UT, 84062-9041, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Utah
License Number 150719-1205
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According to our database, Rocky Mountain Clinical Llc NPI is 1194956342, taxonomy code is 208D00000X and license number is 150719-1205, license state is located at Utah. Rocky Mountain Clinical Llc physically located at 1594 W 300 N, Pleasant Grove UT, 84062. NPI Number 1033115704 has the healthcare provider type.

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1194956342 NPI number is provided on an as is basis without warranty of any kind. 1194956342 is maintained by the National Plan & Provider Enumeration System. The contents of Rocky Mountain Clinical Llc are for informational purposes only.