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Organization

CASTLEVIEW PHYSICIAN PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization

Contact information

Practice address
590 E 100 N, SUITE 4, PRICE, UT 84501-2640
(435) 637-7551
(435) 636-0499
Mailing address
330 SEVEN SPRINGS WAY, ATTEN: PROVIDER ENROLLMENT, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/20/2016
Last updated
09/18/2024
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