Balanced Health Care LLC
Family Medicine in St George, UT. Organization (NPI-2).
NPI number1083067409
StatusActive
Last updated in NPPESJul 20, 2016
Details
- NPI
- 1083067409
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Health Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2016
- Last updated
- Jul 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9705544-1204 | UT | Yes |
| 111N00000X | Chiropractor | 7443716-1202 | UT |
Practice location
169 W 2710 South CirSte. 204a
St George, UT 84790-7201
Phone 435-688-2292 · Fax 435-688-2675
Mailing address
169 W 2710 South CirSte. 204a
St George, UT 84790-7201
Phone 435-688-2292 · Fax 435-688-2675
Authorized official
Brent Noorda
Ceo
4356882292
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