| NPI | 1063038628 |
|---|---|
| Doing Business As | MAIN STREET FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN C. MURRAY CFO 435-528-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-09-05 |