Organization
BRIGHAM CITY ORTHOPEDIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWEY C MACKAY M.D. (PRESIDENT)
(435) 723-1747
Entity
Organization
Contact information
Practice address
950 MEDICAL DR, SUITE 106, BRIGHAM CITY, UT 84302-4724
(435) 723-1747
(435) 723-6851
Mailing address
PO BOX 883, BRIGHAM CITY, UT 84302-0883
(435) 723-1747
(435) 723-6851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
160581-1205
UT
Other
Enumeration date
05/07/2007
Last updated
11/01/2007
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