Paiute Indian Tribe of Utah

NPI #1558590539 in Ivins, Utah

Provider Information

NPI Number: 1558590539
Entity Type: Organization
Organization Name: Paiute Indian Tribe of Utah
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jul 10, 2009
Last Updated: Apr 26, 2010

Practice Location

Address: 3705 N 6100 W
City: Ivins
State: Utah
ZIP Code: 84738
Phone: (435) 688-8198

Authorized Official

Name: MRS. JUDY K CRANFORD, R.N.
Title: HEALTH DEPARTMENT DIRECTOR
Phone: (435) 586-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X	Primary

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