| The Dirty Dozen | |
|
805 W Main St Ste C Tremonton UT 84337-2608 | |
| (435) 257-0106 | |
| (435) 257-0106 |
| Full Name | The Dirty Dozen |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 805 W Main St Ste C, Tremonton, Utah |
| Authorized Official Name and Position | Leland Phelps (OWNER) |
| Authorized Official Contact | 4352570106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dirty Dozen 805 W Main St Ste C Tremonton UT 84337-2608 Ph: (435) 257-0106 | The Dirty Dozen 805 W Main St Ste C Tremonton UT 84337-2608 Ph: (435) 257-0106 |
| NPI Number | 1548715378 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548715378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9183824-1202 (Utah) | Primary |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W 600 N, Tremonton, UT 84337 Phone: 435-257-4444 | |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4500 | |
Miller Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 N 775 E, Tremonton, UT 84337 Phone: 435-915-6262 Fax: 435-201-8200 |