Organization
MTC MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABE UTLEY (FINANCE DIRECTOR)
(801) 693-2918
Entity
Organization
Contact information
Practice address
500 N MARKET PLACE DR STE 100, CENTERVILLE, UT 84014-1711
(801) 693-2918
Mailing address
500 N MARKET PLACE DR STE 100, CENTERVILLE, UT 84014-1711
(801) 693-2918
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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