| Runnelsnp Pllc | |
|
3563 W 2425 N Plain City UT 84404-8577 | |
| (435) 730-3274 | |
| Not Available |
| Full Name | Runnelsnp Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3563 W 2425 N, Plain City, Utah |
| Authorized Official Name and Position | Rylee Runnels (NURSE PRACTITIONER) |
| Authorized Official Contact | 4357303274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Runnelsnp Pllc 3563 W 2425 N Plain City UT 84404-8577 Ph: (435) 730-3274 | Runnelsnp Pllc 3563 W 2425 N Plain City UT 84404-8577 Ph: (435) 730-3274 |
| NPI Number | 1144095142 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144095142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Outreach Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3385 W 2525 N, Plain City, UT 84404 Phone: 801-644-5121 |