Uintah Basin Spine And Disc Center, Pc

NPI 1508110040 - Rehabilitation Unit - 273Y00000X

NPI Details
NPI 1508110040
Enumeration Date 11/06/2012
Last Updated 02/21/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRANDON LEE BRANDON
Position PRESIDENT
Phone (435) 459-9828
Fax
Practice Location
1151 EAST HIGHWAY 40
ROOSEVELT UT, 84066, US
Phone (435) 459-9828
Fax
Business Location
PO BOX 1780
ROOSEVELT UT, 84066-1780, US
Phone
Fax
Toxanomy
Taxonomy Code 273Y00000X
License State Utah
License Number 8432483-1202
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According to our database, Uintah Basin Spine And Disc Center, Pc NPI is 1508110040, taxonomy code is 273Y00000X and license number is 8432483-1202, license state is located at Utah. Uintah Basin Spine And Disc Center, Pc physically located at 1151 East Highway 40, Roosevelt UT, 84066. NPI Number 1033115704 has the healthcare provider type.

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1508110040 NPI number is provided on an as is basis without warranty of any kind. 1508110040 is maintained by the National Plan & Provider Enumeration System. The contents of Uintah Basin Spine And Disc Center, Pc are for informational purposes only.