| Grant Aj Needham Pa Corporation | |
|
1107 N Casitas Hill Loop Washington UT 84780-8922 | |
| (435) 632-7681 | |
| Not Available |
| Full Name | Grant Aj Needham Pa Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1107 N Casitas Hill Loop, Washington, Utah |
| Authorized Official Name and Position | Aj Yergensen (ADMIN) |
| Authorized Official Contact | 4359869369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Aj Needham Pa Corporation 1107 N Casitas Hill Loop Washington UT 84780-8922 Ph: () - | Grant Aj Needham Pa Corporation 1107 N Casitas Hill Loop Washington UT 84780-8922 Ph: (435) 632-7681 |
| NPI Number | 1316889611 |
|---|---|
| Provider Enumeration Date | 04/07/2026 |
| Last Update Date | 04/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316889611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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