Organization
RED TRACTOR FAMILY MEDICINE AND PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA ALLEN NP (OWNER)
(801) 300-3329
Entity
Organization
Contact information
Practice address
2610 W 12270 S, RIVERTON, UT 84065-7103
(801) 300-3329
Mailing address
2610 W 12270 S, RIVERTON, UT 84065-7103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/18/2022
Last updated
07/30/2024
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