Organization
TOOELE HOSPITAL CORPORATION
Active
Other names
Mountain West Worx
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L. MARTIN PA-C (PHYSICIAN ASSISTANT)
(435) 843-3677
Entity
Organization
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3677
(435) 833-9844
Mailing address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3677
(435) 833-9844
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
347246-1206
UT
Other
Enumeration date
01/23/2007
Last updated
03/07/2023
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