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1679956445
PINE TOP MEDICAL P.C.
PRICE, UT
NPI
1679956445
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Entity Type
Organization
Authorized Contact
EUGENE DOUGLAS LARSEN
President
801-309-5156
Organization Subpart ?
No
Primary Taxonomy
261Q00000X
(Licence: UT 93369771204)
Enumeration Date
2015-06-29
Last Update Date
2015-08-10
Business Address
PINE TOP MEDICAL P.C.
284 N HOSPITAL DR SUITE 2
PRICE, UT 84501-4233
Phone number: 435-637-5690
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Mailing Address
PINE TOP MEDICAL P.C.
284 N HOSPITAL DR SUITE 2
PRICE, UT 84501-4233
Phone number: 435-637-5690
Copy
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