PEACHTREE FAMILY MEDICINE PC

PROVIDENCE, UT
NPI1679608582
Entity TypeOrganization
Authorized ContactVERA B CARLSON
Md
435-752-5553
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  5916429-1205)
Enumeration Date2007-02-22
Last Update Date2024-01-31
Business Address
PEACHTREE FAMILY MEDICINE PC
565 W 465 N STE 130
PROVIDENCE, UT 84332-4802
Phone number: 435-752-5553
Mailing Address
PEACHTREE FAMILY MEDICINE PC
169 N GATEWAY DR 170
PROVIDENCE, UT 84332-9855
Phone number: 435-752-5553
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