Organization
PURE HEALTHCARE PROFESSIONAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M BAUGH D.O. (OWNER/DIRECTOR)
(435) 922-1217
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE STE 1203, ROSEVILLE, CA 95661-2932
(916) 850-2559
(916) 721-2456
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 921-6276
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
04/26/2023
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