| Blue Creek Medical | |
|
9825 N 10800 W Tremonton UT 84337-9222 | |
| (888) 851-3677 | |
| (888) 851-3671 |
| Full Name | Blue Creek Medical |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 9825 N 10800 W, Tremonton, Utah |
| Authorized Official Name and Position | Teresa Carter (DIRECTOR OF BILLING) |
| Authorized Official Contact | 9073419751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Creek Medical 9825 N 10800 W Tremonton UT 84337-9222 Ph: (907) 341-9751 | Blue Creek Medical 9825 N 10800 W Tremonton UT 84337-9222 Ph: (888) 851-3677 |
| NPI Number | 1285279091 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285279091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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