Organization
SOUTH PAYSON MEDICAL CLINIC
Active
Other names
South Payson Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT MEREDITH PA-C (OWNER)
(940) 634-1977
Entity
Organization
Contact information
Practice address
828 S 1040 W, PAYSON, UT 84651-4614
(940) 634-1977
Mailing address
828 S 1040 W, PAYSON, UT 84651-4614
(940) 634-1977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2785828-1206
UT
Other
Enumeration date
05/29/2012
Last updated
06/22/2012
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