| Tranquil Living Center Group Corp | |
|
189 N Highway 89 Ste C-10 N Salt Lake UT 84054-2432 | |
| (801) 300-5173 | |
| Not Available |
| Full Name | Tranquil Living Center Group Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 189 N Highway 89, N Salt Lake, Utah |
| Authorized Official Name and Position | Isaac R Thomason (CEO) |
| Authorized Official Contact | 8013005173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Living Center Group Corp 189 N Highway 89 Ste C-10 N Salt Lake UT 84054-2432 Ph: () - | Tranquil Living Center Group Corp 189 N Highway 89 Ste C-10 N Salt Lake UT 84054-2432 Ph: (801) 300-5173 |
| NPI Number | 1881928794 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881928794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 161210-1205 (Utah) | Primary |