Hti Physican Services of Utah,inc

NPI #1245267467 in Wilder, Idaho

Provider Information

NPI Number
1245267467
Entity Type
Organization
Organization Name
Hti Physican 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 26, 2006
Last Updated
Nov 7, 2011

Practice Location

Address
124 5TH STREET
Address 2
SUITE A
City
Wilder
State
Idaho
ZIP Code
83676-0037
Phone
(208) 482-7430

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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