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Organization
RED TRACTOR FAMILY MEDICINE AND PSYCHIATRY
Active
Organization
RED TRACTOR FAMILY MEDICINE AND PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA ALLEN NP (OWNER)
(801) 300-3329
Entity
Organization
Contact information
Practice address
2610 W 12270 S, RIVERTON, UT 84065-7103
(801) 300-3329
Mailing address
2610 W 12270 S, RIVERTON, UT 84065-7103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/18/2022
Last updated
07/30/2024
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