Sevier Valley Medical Clinic Pllc

NPI #1902185309 in Salina, Utah

Provider Information

NPI Number
1902185309
Entity Type
Organization
Organization Name
Sevier Valley Medical Clinic Pllc
Primary Specialty
Family Medicine
Enumeration Date
Aug 16, 2011
Last Updated
Aug 16, 2011

Practice Location

Address
131 E MAIN ST
Address 2
SUITE 3
City
Salina
State
Utah
ZIP Code
84654-1335
Phone
(435) 529-4243

Authorized Official

Name
KERRY A BLACKHAM, M.D.
Title
MD/OWNER
Phone
(435) 529-4243

Specialties & Taxonomy Codes

Specialty
Family Medicine

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