Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

NPI #1932360054 in Fort Duchesne, Utah

Provider Information

NPI Number: 1932360054
Entity Type: Organization
Organization Name: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Primary Specialty: General Practice
Enumeration Date: Jun 20, 2008
Last Updated: Apr 4, 2013

Practice Location

Address: 6822 E 1000 SOUTH
City: Fort Duchesne
State: Utah
ZIP Code: 84026
Phone: (435) 722-5122

Authorized Official

Name: MR. DELBERT GARY MARTIN, RPH
Title: CHIEF PHARMACIST
Phone: (435) 725-6874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Registered Nurse	163W00000X
Family Medicine	207Q00000X
Podiatrist	213E00000X
Physical Therapist	225100000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Social Worker	104100000X
General Practice	208D00000X	Primary

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