Organization · NPI-2

Access Healthcare, LLC

Family Medicine · Brigham City, UT

NPI number1285032854
StatusActive
Last updated in NPPESDec 15, 2014

Details

NPI
1285032854
Entity type
Organization (NPI-2)
Legal business name
Access Healthcare, LLC
Organization subpart
No
Enumeration date
Dec 15, 2014
Last updated
Dec 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

5 W 200 N
Brigham City, UT 84302-2109

Phone 435-723-7999 · Fax 435-723-7331

Mailing address

274 N Main St
Logan, UT 84321-3915

Phone 435-753-1600

Authorized official

David Ballingham
P.A.
4357237999

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