Little S Clinic LLC

NPI #1164763736 in Parowan, Utah

Provider Information

NPI Number: 1164763736
Entity Type: Organization
Organization Name: Little S Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 7, 2013
Last Updated: May 2, 2013

Practice Location

Address: 200 S 4200 W
City: Parowan
State: Utah
ZIP Code: 84761-1330
Phone: (435) 559-5840

Authorized Official

Name: ELLEN GARDNER, MD
Title: OWNER
Phone: (435) 559-5840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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