| Dhew Ind Hlth Svcs & Mntl Hlth Svcs | |
|
6822 E 1000 South Fort Duchesne UT 84026 | |
| (435) 722-5122 | |
| Not Available |
| Full Name | Dhew Ind Hlth Svcs & Mntl Hlth Svcs |
|---|---|
| Speciality | Dentist |
| Location | 6822 E 1000 South, Fort Duchesne, Utah |
| Authorized Official Name and Position | Delbert Gary Martin (CHIEF PHARMACIST) |
| Authorized Official Contact | 4357256874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhew Ind Hlth Svcs & Mntl Hlth Svcs 6822 E. 1000 South Fort Duchesne UT 84026 Ph: (435) 722-5122 | Dhew Ind Hlth Svcs & Mntl Hlth Svcs 6822 E 1000 South Fort Duchesne UT 84026 Ph: (435) 722-5122 |
| NPI Number | 1730341215 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730341215 | NPI | - | NPPES |
| AZ0522260 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 700000000009 | Medicaid | UT |
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6822 E 1000 South, Fort Duchesne, UT 84026 Phone: 435-722-5122 |