Organization
BEAR RIVER VALLEY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CARTER (DIRECTOR OF BILLING)
(907) 341-9751
Entity
Organization
Contact information
Practice address
9825 N 10800 W, TREMONTON, UT 84337-9222
(888) 851-3677
Mailing address
9825 N 10800 W, TREMONTON, UT 84337-9222
(907) 341-9751
(866) 311-6889
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/18/2018
Last updated
01/02/2025
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