The Dirty Dozen

NPI #1548715378 in Tremonton, Utah

Provider Information

NPI Number
1548715378
Entity Type
Organization
Organization Name
The Dirty Dozen
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 22, 2016
Last Updated
Aug 22, 2016

Practice Location

Address
805 W MAIN ST STE C
State
Utah
ZIP Code
84337-2608
Phone
(435) 257-0106

Authorized Official

Name
DR. LELAND PHELPS, D.C.
Title
OWNER
Phone
(435) 257-0106

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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