Organization
MEDICAL MARTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MATHEWSON (DIRECTOR OF PAYER RELATIONS)
(702) 562-0458
Entity
Organization
Contact information
Practice address
1018 WASHINGTON BLVD, OGDEN, UT 84404-4949
(801) 392-7100
Mailing address
2685 S RAINBOW BLVD, SUITE 112, LAS VEGAS, NV 89146-5182
(702) 562-0458
(847) 256-1951
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
6571785-8019
UT
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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