Organization
TUTA SANO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PHELPS MD (PHYSICIAN/OWNER)
(801) 644-8968
Entity
Organization
Contact information
Practice address
57 W GROVE CREEK CIR, FARMINGTON, UT 84025-4732
(801) 644-8968
Mailing address
57 W GROVE CREEK CIR, FARMINGTON, UT 84025-4732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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