# BRIGHAM CITY ORTHOPEDIC CLINIC PC

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

## Provider details

- **NPI number:** 1558573881
- **Authorized official:** DR. DEWEY C MACKAY M.D. (PRESIDENT)
- **Authorized official phone:** (435) 723-1747

## Contact information

- **Practice address:** 950 MEDICAL DR, SUITE 106, BRIGHAM CITY, UT 84302-4724
- **Practice address phone:** (435) 723-1747
- **Practice address fax:** (435) 723-6851
- **Mailing address:** PO BOX 883, BRIGHAM CITY, UT 84302-0883
- **Mailing address phone:** (435) 723-1747
- **Mailing address fax:** (435) 723-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 160581-1205 | UT | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 11/01/2007