Garfield County

Specialty details in registry · Panguitch, UT

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At a glance

200 N 400 E, Panguitch, UT 84759-0389

NPPES record updated Apr 8, 2025. Public records can lag behind changes at a practice.

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Practice location

200 N 400 E
Panguitch, UT 84759-0389
Professional details: NPI, taxonomy & registry record
NPI1760684815
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR1300X
Enumeration date
Jun 1, 2007
Record updated
Apr 8, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Family Medicine

207Q00000X

Specialty details in registry

261QR1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

200 N 400 E
Panguitch, UT 84759-0389
Phone
(435) 676-8811
Fax
(435) 676-2679
Mailing address
PO BOX 30180

SALT LAKE CITY, UT 841300180
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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