Organization
HILDALE HEALTH SERVICE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZRA L. NIELSEN (ADMINISTRATOR)
(435) 874-2217
Entity
Organization
Contact information
Practice address
1065 N HILDALE ST, HILDALE, UT 84784-0459
(435) 874-2217
(435) 874-7817
Mailing address
1065 N HILDALE ST, HILDALE, UT 84784-0459
(435) 874-2217
(435) 874-7817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
07/21/2022
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