Paiute Indian Tribe of Utah
NPI #1700062296 in Cedar City, Utah
Provider Information
- NPI Number
- 1700062296
- Entity Type
- Organization
- Organization Name
- Paiute Indian Tribe of Utah
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Dec 18, 2023
Practice Location
- Address
- 376 N PAIUTE DR
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84721
- Phone
- (435) 867-1520
Authorized Official
- Name
- TARA PORATH
- Title
- CREDENTIALING SPECIALIST
- Phone
- (435) 867-1520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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