# DIABETES TREATMENT CENTERS OF AMERICA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134908932
- **Authorized official:** ADAM LAW (MANAGING MEMBER)
- **Authorized official phone:** (509) 842-8987

## Contact information

- **Practice address:** 1490 E FOREMASTER DR STE 340, ST GEORGE, UT 84790-4506
- **Practice address phone:** (435) 216-9290
- **Mailing address:** PO BOX 461338, LEEDS, UT 84746-1338
- **Mailing address phone:** (509) 842-8987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 09/22/2023