Organization
CASTLEVIEW PHYSICIAN PRACTICES, LLC
Active
Other names
Emery Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESS N JUDY (PRESIDENT)
(615) 372-8508
Entity
Organization
Contact information
Practice address
90 WEST MAIN STREET, CASTLE DALE, UT 84513
(435) 381-2305
(435) 381-5010
Mailing address
PO BOX 607, CASTLE DALE, UT 84513-0607
(435) 381-2305
(435) 381-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000066149
MEDICARE GROUP
UT
Enumeration date
04/22/2010
Last updated
04/22/2010
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