| Outreach Medical Group | |
|
3385 W 2525 N Plain City UT 84404-9228 | |
| (801) 644-5121 | |
| Not Available |
| Full Name | Outreach Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3385 W 2525 N, Plain City, Utah |
| Authorized Official Name and Position | Casey Lawrence Stelter (MD) |
| Authorized Official Contact | 8016445121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Medical Group 3385 W 2525 N Plain City UT 84404-9228 Ph: (801) 644-5121 | Outreach Medical Group 3385 W 2525 N Plain City UT 84404-9228 Ph: (801) 644-5121 |
| NPI Number | 1467974311 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467974311 | NPI | - | NPPES |
| 309877-1205 | Other | UT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 309877-1205 (Utah) | Primary |
Runnelsnp Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3563 W 2425 N, Plain City, UT 84404 Phone: 435-730-3274 |