Pine Top Medical P.c.

NPI #1679956445 in Price, Utah

Provider Information

NPI Number: 1679956445
Entity Type: Organization
Organization Name: Pine Top Medical P.c.
Primary Specialty: Clinic/Center
Enumeration Date: Jun 29, 2015
Last Updated: Aug 10, 2015

Practice Location

Address: 284 N HOSPITAL DR
Address 2: SUITE 2
City: Price
State: Utah
ZIP Code: 84501-4233
Phone: (435) 637-5690

Authorized Official

Name: DR. EUGENE DOUGLAS LARSEN JR., D.O.
Title: PRESIDENT
Phone: (801) 309-5156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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