# RED TRACTOR FAMILY MEDICINE AND PSYCHIATRY

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

## Provider details

- **NPI number:** 1467107300
- **Authorized official:** GEORGIA ALLEN NP (OWNER)
- **Authorized official phone:** (801) 300-3329

## Contact information

- **Practice address:** 2610 W 12270 S, RIVERTON, UT 84065-7103
- **Practice address phone:** (801) 300-3329
- **Mailing address:** 2610 W 12270 S, RIVERTON, UT 84065-7103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 07/30/2024