| Central Utah Clinic, P.c. | |
|
330 Falcon Ridge Pkwy Ste 400a Mesquite NV 89027-8881 | |
| (801) 377-5757 | |
| (801) 418-0941 |
| Full Name | Central Utah Clinic, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 330 Falcon Ridge Pkwy Ste 400a, Mesquite, Nevada |
| Authorized Official Name and Position | Jed Bradley Harston (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 8018125012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Utah Clinic, P.c. 1055 N 500 W Attn: Credentialing Provo UT 84604-3305 Ph: (801) 354-8225 | Central Utah Clinic, P.c. 330 Falcon Ridge Pkwy Ste 400a Mesquite NV 89027-8881 Ph: (801) 377-5757 |
| NPI Number | 1669930475 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669930475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
News Archive
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› Verified 1 days ago
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