Hti Physician Services of Utah INC

NPI #1104869965 in New Plymouth, Idaho

Provider Information

NPI Number
1104869965
Entity Type
Organization
Organization Name
Hti Physician Services of Utah INC
Subpart
Yes (part of a larger organization)
Parent Organization
WEST VALLEY MEDICAL CENTER
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 13, 2006
Last Updated
Oct 26, 2011

Practice Location

Address
112 S PLYMOUTH STREET
State
Idaho
ZIP Code
83655-0048
Phone
(208) 278-3406

Authorized Official

Name
MRS. JULIE TAYLOR
Title
CEO
Phone
(208) 455-3718

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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