Cls Medical Llc | |
2743 N 2125 E Layton UT 84040-3206 | |
(801) 771-7235 | |
Not Available |
Full Name | Cls Medical Llc |
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Speciality | Family Medicine |
Location | 2743 N 2125 E, Layton, Utah |
Authorized Official Name and Position | Casey L Stelter (OWNER) |
Authorized Official Contact | 8017717235 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cls Medical Llc Po Box 1009 Riverton UT 84065-1009 Ph: (801) 561-8398 | Cls Medical Llc 2743 N 2125 E Layton UT 84040-3206 Ph: (801) 771-7235 |
NPI Number | 1801562921 |
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Provider Enumeration Date | 08/18/2021 |
Last Update Date | 08/18/2021 |
Medicare PECOS PAC ID | 1355731928 |
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Medicare Enrollment ID | O20211214002392 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801562921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Casey Lawrence Stelter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073607222 PECOS PAC ID: 7911898838 Enrollment ID: I20050810000385 |
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