Central Utah Clinic Pc | |
972 N 600 E Spanish Fork UT 84660-1306 | |
(801) 373-7350 | |
(801) 812-5401 |
Full Name | Central Utah Clinic Pc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 972 N 600 E, Spanish Fork, Utah |
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 Pc 1055 N 500 W Att Credentialing Provo UT 84604 Ph: (801) 354-8225 | Central Utah Clinic Pc 972 N 600 E Spanish Fork UT 84660-1306 Ph: (801) 373-7350 |
NPI Number | 1851142285 |
---|---|
Provider Enumeration Date | 04/01/2024 |
Last Update Date | 04/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851142285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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