Organization
3LG VENTURES INC
Active
Other names
Fallon Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RAY JENSEN (SECRETARY)
(575) 522-1779
Entity
Organization
Contact information
Practice address
1077 NEW RIVER PKWY, FALLON, NV 89406-6894
(775) 428-2747
Mailing address
1157 N BLUE MOUNTAIN RD, BLANDING, UT 84511-2123
(575) 312-6951
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
09/20/2024
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