| Cls Medical LLC | |
|
2743 N 2125 E Layton UT 84040-3206 | |
| (801) 771-7235 | |
| Not Available |
| Full Name | Cls Medical LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 1355731928 |
|---|---|
| Medicare Enrollment ID | O20211214002392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801562921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Casey Lawrence Stelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073607222 PECOS PAC ID: 7911898838 Enrollment ID: I20050810000385 |
| Provider Name | Robert Gertge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356402374 PECOS PAC ID: 8628172459 Enrollment ID: I20070403000456 |
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