| NPI | 1306076625 |
|---|---|
| Doing Business As | FORT DUCHESNE INDIAN HEALTH CENTER RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | DELBERT GARY MARTIN Chief Pharmacist 435-725-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2013-04-04 |