| LLC | |
|
772 E 100 N Suite #6 Payson UT 84651-2345 | |
| (801) 376-2052 | |
| (801) 465-6161 |
| Full Name | LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 772 E 100 N, Payson, Utah |
| Authorized Official Name and Position | Brian Dell Gasser (OWNER NURSE PRACTITIONER) |
| Authorized Official Contact | 8013762052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| LLC 772 E 100 N Suite #6 Payson UT 84651-2345 Ph: (801) 376-2052 | LLC 772 E 100 N Suite #6 Payson UT 84651-2345 Ph: (801) 376-2052 |
| NPI Number | 1407028590 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407028590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2072864405 (Utah) | Primary |
Payson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 854 Turf Farm Rd, Ste 1, Payson, UT 84651 Phone: 435-864-2708 |
Mountainlands Pharmacy - Payson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 N 1250 E Ste 103, Payson, UT 84651 Phone: 801-429-2000 |
Wesley Shayne Bott Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E 400 S, Payson, UT 84651 Phone: 801-658-9094 Fax: 801-658-9094 |
Stone Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E 100 N, Ste 105, Payson, UT 84651 Phone: 801-465-1555 Fax: 801-465-1333 |
South Payson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 S 1040 W, Payson, UT 84651 Phone: 940-634-1977 |
Reveal Medical Spa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 S 1040 W, Payson, UT 84651 Phone: 385-551-2929 |