| Spanish Fork Clinic | |
|
336 W 100 S Spanish Fork UT 84660-5881 | |
| (801) 798-7301 | |
| (801) 798-8513 |
| Full Name | Spanish Fork Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 336 W 100 S, Spanish Fork, Utah |
| Authorized Official Name and Position | Aaron Lowe (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8017987301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanish Fork Clinic 325 W Center St Spanish Fork UT 84660-2060 Ph: (801) 798-7301 | Spanish Fork Clinic 336 W 100 S Spanish Fork UT 84660-5881 Ph: (801) 798-7301 |
| NPI Number | 1538194477 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538194477 | NPI | - | NPPES |
| CE7334 | Other | UT | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207V00000X | Obstetrics & Gynecology | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
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