Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm
NPI #1508887993 in Fort Duchesne, Utah
Provider Information
- NPI Number
- 1508887993
- Entity Type
- Organization
- Organization Name
- Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm
- Primary Specialty
- Clinic/Center - Public Health, Federal
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Apr 4, 2013
Practice Location
- Address
- 6822 EAST 1000 SOUTH
- Address 2
- FORT DUCHESNE PHS INDIAN HEALTH CENTER
- City
- Fort Duchesne
- State
- Utah
- ZIP Code
- 84026
- Phone
- (435) 722-5122
Authorized Official
- Name
- MR. DELBERT GARY MARTIN, RPH
- Title
- CHIEF PHARMACIST
- Phone
- (435) 725-6874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, Federal — Public Health, Federal |
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