Tooele Clinic Corp

NPI 1073512364 - Pediatrics - 208000000X

NPI Details
NPI 1073512364
Enumeration Date 07/19/2005
Last Updated 04/14/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position DIRECTOR OF PROVIDER ENROLLMENT
Phone (435) 843-3696
Fax (435) 843-7995
Practice Location
196 E 2000 N
SUITE 106
TOOELE UT, 84074-9335, US
Phone (435) 843-3696
Fax (435) 843-7995
Business Location
7100 COMMERCE WAY
SUITE 180
BRENTWOOD TN, 37027-2829, US
Phone (615) 465-7632
Fax (615) 465-2885
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Tooele Clinic Corp NPI is 1073512364, taxonomy code is 208000000X Tooele Clinic Corp physically located at 196 E 2000 N, Tooele UT, 84074-9335. NPI Number 1033115704 has the healthcare provider type.

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1073512364 NPI number is provided on an as is basis without warranty of any kind. 1073512364 is maintained by the National Plan & Provider Enumeration System. The contents of Tooele Clinic Corp are for informational purposes only.