| Mtc Medical, LLC | |
|
500 N Market Place Dr Ste 100 Centerville UT 84014-1711 | |
| (801) 693-2918 | |
| Not Available |
| Full Name | Mtc Medical, LLC |
|---|---|
| Speciality | Clinic/center - Prison Health |
| Location | 500 N Market Place Dr Ste 100, Centerville, Utah |
| Authorized Official Name and Position | Gabe Utley (FINANCE DIRECTOR) |
| Authorized Official Contact | 8016932918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtc Medical, LLC 500 N Market Place Dr Ste 100 Centerville UT 84014-1711 Ph: (801) 693-2918 | Mtc Medical, LLC 500 N Market Place Dr Ste 100 Centerville UT 84014-1711 Ph: (801) 693-2918 |
| NPI Number | 1720759236 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720759236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2400X | Clinic/center - Prison Health | () | Primary |
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