Fort Duchesne Indian Health Center Radiology
NPI #1306076625 in Fort Duchesne, Utah
Provider Information
- NPI Number
- 1306076625
- Entity Type
- Organization
- Organization Name
- Fort Duchesne Indian Health Center Radiology
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Apr 4, 2013
Practice Location
- Address
- 6822 EAST 1000 SOUTH
- City
- Fort Duchesne
- State
- Utah
- ZIP Code
- 84026
- Phone
- (435) 725-6874
Authorized Official
- Name
- MR. DELBERT GARY MARTIN, RPH
- Title
- CHIEF PHARMACIST
- Phone
- (435) 725-6874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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