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Organization

AUTUMN BEAR ACUPUNCTURE PLLC

Active
Other names
Autumn Bear Wellness Collective
Organization subpart
No

Provider details

NPI number
Authorized official
AUTUMN BEAR (OWNER)
(646) 415-1406
Entity
Organization

Contact information

Practice address
5532 LILLEHAMMER LN STE 102, PARK CITY, UT 84098-6078
(435) 659-7633
Mailing address
5532 LILLEHAMMER LN STE 102, PARK CITY, UT 84098-6078
(435) 659-7633
(971) 397-0394

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942524566
PERSONAL NPI
NY
Enumeration date
02/13/2014
Last updated
07/31/2025
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