Northeastern Utah Medical Group

NPI #1740482009 in Roosevelt, Utah

Provider Information

NPI Number
1740482009
Entity Type
Organization
Organization Name
Northeastern Utah Medical Group
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 31, 2007
Last Updated
Oct 23, 2025

Practice Location

Address
210 W 300 N
State
Utah
ZIP Code
84066-2336
Phone
(435) 722-3971

Authorized Official

Name
BRENT H HALES
Title
CFO
Phone
(435) 722-6164

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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