Canyon Care Llc | |
10160 E State Highway 210 Ste 2 Alta UT 84092-9509 | |
(801) 742-9820 | |
Not Available |
Full Name | Canyon Care Llc |
---|---|
Speciality | Family Medicine |
Location | 10160 E State Highway 210 Ste 2, Alta, Utah |
Authorized Official Name and Position | Kenneth P Libre (MEDICAL DIRECTOR) |
Authorized Official Contact | 8017429820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Canyon Care Llc Po Box 8072 Alta UT 84092-8072 Ph: (801) 742-2273 | Canyon Care Llc 10160 E State Highway 210 Ste 2 Alta UT 84092-9509 Ph: (801) 742-9820 |
NPI Number | 1417509860 |
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Provider Enumeration Date | 07/15/2019 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417509860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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