Organization
DAVIS COUNTY HEALTH QP
Active
Organization
DAVIS COUNTY HEALTH QP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS GARRETT (BILLING)
(801) 451-3343
Entity
Organization
Contact information
Practice address
50 E STATE ST, FARMINGTON, UT 84025-2343
(801) 451-3331
(801) 451-3331
Mailing address
PO BOX 618, FARMINGTON, UT 84025-0618
(801) 451-3331
(801) 451-3331
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998877667000
—
UT
Enumeration date
02/23/2007
Last updated
08/16/2007
Update your record
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