Organization
BLUE CREEK MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CARTER (DIRECTOR OF BILLING)
(907) 341-9751
Entity
Organization
Contact information
Practice address
9825 N 10800 W, TREMONTON, UT 84337-9222
(888) 851-3677
(888) 851-3671
Mailing address
9825 N 10800 W, TREMONTON, UT 84337-9222
(907) 341-9751
(866) 311-6889
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
01/02/2025
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