Do-It For You
Specialty details in registry · Centerville, UT
At a glance
291 E Casa Loma Drive, Centerville, UT 84014
NPPES record updated Jul 14, 2008. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
291 E Casa Loma DriveCenterville, UT 84014
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 172V00000X
- Enumeration date
- Jan 3, 2007
- Record updated
- Jul 14, 2008
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
172V00000X · Primary
Specialty details in registry
372500000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
291 E Casa Loma DriveCenterville, UT 84014
- Phone
- (801) 295-8095
- Fax
- (801) 296-6471
Mailing address
291 E CASA LOMA DRIVECENTERVILLE, UT 84014
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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