Organization
MODERN MEDICAL INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJ YERGENSEN (ADMIN)
(435) 986-9369
Entity
Organization
Contact information
Practice address
640 E 700 S STE 103, ST GEORGE, UT 84770-5731
(354) 652-2850
Mailing address
640 E 700 S STE 103, ST GEORGE, UT 84770-5731
(354) 652-2850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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