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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTENNIAL MEDICAL PRACTICE PC

Active Organization

CENTENNIAL MEDICAL PRACTICE PC is a Specialist organization located in PARK CITY, Utah. NPI 1174333975 is currently active in the NPPES registry. Verify at CMS.

Specialist · PARK CITY, UT

Registration Details

NPI Number
1174333975
Provider Type
Organization
NPI Issued
Jan 13, 2025 (1.5942585516863 yrs)
Last Updated
Jan 13, 2025

Practice Information

Address
1743 SIDEWINDER DRIVE
#114
PARK CITY, UT, 840607322
Browse UT providers · Browse ZIP 84060
Phone
3078409834
Fax
8334500933
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in PARK CITY, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.