South Payson Medical Clinic

NPI #1255691929 in Payson, Utah

Provider Information

NPI Number: 1255691929
Entity Type: Organization
Organization Name: South Payson Medical Clinic
Primary Specialty: Clinic/Center
Enumeration Date: May 29, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 828 S 1040 W
City: Payson
State: Utah
ZIP Code: 84651-4614
Phone: (940) 634-1977

Authorized Official

Name: MR. BRENT MEREDITH, PA-C
Title: OWNER
Phone: (940) 634-1977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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