Organization
BE WELL MEDICAL, PLLC
Active
Other names
BE WELL MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LEE SKATES FNP (FNP/OPERATIONS MANAGER)
(435) 359-0720
Entity
Organization
Contact information
Practice address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 359-0720
Mailing address
41 E 400 N # 322, LOGAN, UT 84321-4020
(435) 359-0720
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811519085
—
UT
05
—
1972990828
—
UT
Enumeration date
04/24/2020
Last updated
08/14/2020
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