| Indiemed LLC | |
|
25 N 2000 W Ste 3 Hurricane UT 84737-4115 | |
| (435) 635-1148 | |
| (435) 635-1146 |
| Full Name | Indiemed LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25 N 2000 W Ste 3, Hurricane, Utah |
| Authorized Official Name and Position | Philip Carter (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4356351148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiemed LLC 25 N 2000 W Ste 3 Hurricane UT 84737-4115 Ph: (435) 635-1148 | Indiemed LLC 25 N 2000 W Ste 3 Hurricane UT 84737-4115 Ph: (435) 635-1148 |
| NPI Number | 1932640752 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932640752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 7443632-1206 (Utah) | Primary |
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