Organization
TLC MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA COATES NP-C (SOLE MEMBER)
(435) 691-1746
Entity
Organization
Contact information
Practice address
729 N. CLAYMILL CUTOFF RD, AURORA, UT 84620-8462
(435) 691-1746
Mailing address
PO BOX 233, AURORA, UT 84620-0233
(435) 691-1746
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
10/02/2020
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