Superior Healthcare of Spanish Fork
NPI #1255692075 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1255692075
- Entity Type
- Organization
- Organization Name
- Superior Healthcare of Spanish Fork
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 7, 2012
- Last Updated
- Jun 7, 2012
Practice Location
- Address
- 750 N MAIN ST
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1147
- Phone
- (801) 798-2515
Authorized Official
- Name
- BRENT NEPHI WALL, D.C.
- Title
- PRESIDENT
- Phone
- (801) 798-2515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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