Paiute Indian Tribe of Utah

NPI #1992972525 in Kanosh, Utah

Provider Information

NPI Number: 1992972525
Entity Type: Organization
Organization Name: Paiute Indian Tribe of Utah
Primary Specialty: Clinic/Center
Enumeration Date: May 13, 2008
Last Updated: Feb 22, 2024

Practice Location

Address: 157 N PAIUTE DR RESERVATION RD
City: Kanosh
State: Utah
ZIP Code: 84637
Phone: (435) 759-2610

Authorized Official

Name: MR. TYLER PRISBREY
Title: CFO
Phone: (435) 586-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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