Organization
PAIUTE INDIAN TRIBE OF UTAH
Active
Other names
SHIVWITS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY K CRANFORD R.N. (HEALTH DEPARTMENT DIRECTOR)
(435) 586-1112
Entity
Organization
Contact information
Practice address
3705 N 6100 W, IVINS, UT 84738
(435) 688-8198
(435) 867-1514
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
04/26/2010
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