| Diamond Springs Wellness Center Pc | |
|
210 E Main St Suite 101 Midway UT 84049-6806 | |
| (435) 657-1777 | |
| (435) 657-0098 |
| Full Name | Diamond Springs Wellness Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 E Main St, Midway, Utah |
| Authorized Official Name and Position | Judith S Moore (OWNER) |
| Authorized Official Contact | 4356571777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Springs Wellness Center Pc 210 E Main St Suite 101 Midway UT 84049-6806 Ph: (435) 657-1777 | Diamond Springs Wellness Center Pc 210 E Main St Suite 101 Midway UT 84049-6806 Ph: (435) 657-1777 |
| NPI Number | 1780980391 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780980391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 180388-1204 (Utah) | Primary |