Organization
FIRSTLINE IV THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERIANN WALL MCKEON (OFFICE MANAGER)
(435) 922-1217
Entity
Organization
Contact information
Practice address
475 S DONLEE DR, SAINT GEORGE, UT 84770-5231
(435) 922-1217
Mailing address
1150 E PINE VALLEY ST, WASHINGTON, UT 84780-8863
(435) 922-1217
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/16/2022
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