| Grantsville Medical Clinic | |
|
822 East Main Street #7 Grantsville UT 84029 | |
| (435) 884-3582 | |
| (435) 884-3578 |
| Full Name | Grantsville Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 822 East Main Street, Grantsville, Utah |
| Authorized Official Name and Position | Benjamin J Krogh (PRESIDENT) |
| Authorized Official Contact | 4358843582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grantsville Medical Clinic 822 East Main Street #7 Grantsville UT 84029 Ph: (435) 884-3582 | Grantsville Medical Clinic 822 East Main Street #7 Grantsville UT 84029 Ph: (435) 884-3582 |
| NPI Number | 1972696425 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972696425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8502 (Utah) | Primary |
Nita B Weber Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 W Apple St, Grantsville, UT 84029 Phone: 435-882-4192 Fax: 435-882-4665 |