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Organization

SNOW CANYON CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA JOHNSON (CEO)
(435) 986-2395
Entity
Organization

Contact information

Practice address
272 E CENTER ST, IVINS, UT 84738-6456
(435) 986-2300
(435) 986-2323
Mailing address
272 E CENTER ST, IVINS, UT 84738-6456
(435) 986-2300
(435) 986-2323

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/26/2006
Last updated
10/30/2012
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