Hobble Creek Medical Clinic, LLC

NPI #1013240845 in Springville, Utah

Provider Information

NPI Number
1013240845
Entity Type
Organization
Organization Name
Hobble Creek Medical Clinic, LLC
Primary Specialty
Pediatrics
Enumeration Date
Sep 11, 2009
Last Updated
Sep 4, 2014

Practice Location

Address
672 W. 400 S.
Address 2
SUITE 101
State
Utah
ZIP Code
84663
Phone
(801) 491-9883

Authorized Official

Name
DAVID S DEVENPORT, M. D.
Title
M. D.
Phone
(801) 491-9883

Specialties & Taxonomy Codes

Specialty
Family Medicine
Pediatrics

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