In Home Provider
NPI #1871131623 in Santa Clara, Utah
Provider Information
- NPI Number
- 1871131623
- Entity Type
- Organization
- Organization Name
- In Home Provider
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 11, 2019
- Last Updated
- Dec 11, 2019
Practice Location
- Address
- 2432 CONCORD AVE
- City
- Santa Clara
- State
- Utah
- ZIP Code
- 84765-5621
- Phone
- (435) 659-7352
Authorized Official
- Name
- SHANE WHITTIER
- Title
- COO
- Phone
- (435) 709-8786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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