| Kazan Ivan W. Memorial Clinic | |
|
65 N Center Escalante UT 84726-0276 | |
| (435) 826-4374 | |
| Not Available |
| Full Name | Kazan Ivan W. Memorial Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 65 N Center, Escalante, Utah |
| Authorized Official Name and Position | Alberto Vasquez (ADMINISTRATOR) |
| Authorized Official Contact | 4356768811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kazan Ivan W. Memorial Clinic 4646 Lake Park Blvd Salt Lake City UT 84120-8212 Ph: () - | Kazan Ivan W. Memorial Clinic 65 N Center Escalante UT 84726-0276 Ph: (435) 826-4374 |
| NPI Number | 1619179751 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619179751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kazan Ivan W Memorial Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 570 E Moqui Ln, Escalante, UT 84726 Phone: 435-826-4374 |