Organization
SUPERIOR HEALTHCARE OF SPANISH FORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT NEPHI WALL D.C. (PRESIDENT)
(801) 798-2515
Entity
Organization
Contact information
Practice address
750 N MAIN ST, SPANISH FORK, UT 84660-1147
(801) 798-2515
(801) 798-2510
Mailing address
750 N MAIN ST, SPANISH FORK, UT 84660-1147
(801) 798-2515
(801) 798-2510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5129809-4405
UT
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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