Organization
TRANQUIL LIVING CENTER GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC R THOMASON (CEO)
(801) 300-5173
Entity
Organization
Contact information
Practice address
189 N HIGHWAY 89, STE C-10, N SALT LAKE, UT 84054-2432
(801) 300-5173
Mailing address
189 N HIGHWAY 89, STE C-10, N SALT LAKE, UT 84054-2432
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
161210-1205
UT
Other
Enumeration date
09/24/2009
Last updated
09/27/2009
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