Organization
REMACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNARD (CEO)
(435) 938-8508
Entity
Organization
Contact information
Practice address
2380 N 400 E, STE C, LOGAN, UT 84341-6000
(435) 753-7337
Mailing address
7198 W HIGHWAY 30, MENDON, UT 84325-9713
(435) 760-7003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
309737-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP0808X
—
UT
Enumeration date
11/06/2015
Last updated
03/10/2016
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