Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHEASTERN UTAH MEDICAL GROUP
Active OrganizationNORTHEASTERN UTAH MEDICAL GROUP is a Physician Assistant organization located in ROOSEVELT, Utah. NPI 1316316482 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROOSEVELT, UT
Registration Details
- NPI Number
- 1316316482
- Provider Type
- Organization
- NPI Issued
- Sep 18, 2015 (10.901769822447 yrs)
- Last Updated
- Sep 18, 2015
- License
-
6411766-1206 (UT)
Practice Information
- Address
-
250 W 300 NROOSEVELT, UT, 840662336Browse UT providers · Browse ZIP 84066
- Phone
- 4357224691
- Fax
- 4357229291
- Primary Specialty
-
Physician Assistant
363A00000X
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.