| Beecon of Light | |
|
60 S Main St # B002 Brigham City UT 84302-6719 | |
| (435) 239-8768 | |
| Not Available |
| Full Name | Beecon of Light |
|---|---|
| Speciality | Clinic/center |
| Location | 60 S Main St # B002, Brigham City, Utah |
| Authorized Official Name and Position | Anthony Pool (OWNER) |
| Authorized Official Contact | 4352398768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beecon of Light 60 S Main St # B002 Brigham City UT 84302-6719 | Beecon of Light 60 S Main St # B002 Brigham City UT 84302-6719 Ph: (435) 239-8768 |
| NPI Number | 1689337396 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689337396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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