NORTHEASTERN UTAH MEDICAL GROUP

ROOSEVELT, UT
NPI1982664199
Entity TypeOrganization
Authorized ContactKARLI MORRIS
Physician Credentialing
435-725-7448
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207N00000X Dermatology
207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
207W00000X Ophthalmology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
208000000X Pediatrics
208100000X Physical Medicine & Rehabilitation
208600000X Surgery
Enumeration Date2006-03-23
Last Update Date2019-05-14
Business Address
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300 N 7-3
ROOSEVELT, UT 84066
Phone number: 435-722-3971
Mailing Address
NORTHEASTERN UTAH MEDICAL GROUP
210 W 300 N 7-3
ROOSEVELT, UT 84066
Phone number: 435-722-3971