Organization
BASIN MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE WORKMAN (ASST. MANAGER)
(435) 789-1165
Entity
Organization
Contact information
Practice address
379 NORTH 500 WEST, SUITE 1A, VERNAL, UT 84078
(435) 789-1165
(435) 789-1169
Mailing address
379 NORTH 500 WEST, SUITE 1A, VERNAL, UT 84078
(435) 789-1165
(435) 789-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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