Snow College

NPI #1730555400 in Ephraim, Utah

Provider Information

NPI Number
1730555400
Entity Type
Organization
Organization Name
Snow College
Primary Specialty
Family Medicine
Enumeration Date
Aug 18, 2015
Last Updated
Oct 9, 2015

Practice Location

Address
150 E. COLLEGE WAY
State
Utah
ZIP Code
84627
Phone
(800) 555-9073

Authorized Official

Name
MOUZON BASS III, HANDY
Title
AGENT
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Family Medicine

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