| NPI | 1932360054 |
|---|---|
| Other Name | FORT DUCHESNE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DELBERT GARY MARTIN Chief Pharmacist 435-725-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 104100000X Social Worker | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-04-04 |