Organization
NORTHWESTERN BAND OF THE SHOSHONE NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN M TROXELL (TRIBAL HEALTH ADMINISTRATOR)
(435) 734-2286
Entity
Organization
Contact information
Practice address
707 N MAIN ST, BRIGHAM CITY, UT 84302-1449
(435) 734-2286
(435) 734-0424
Mailing address
707 N MAIN ST, BRIGHAM CITY, UT 84302-1449
(435) 734-2286
(435) 734-0424
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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