Organization
INDIEMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CARTER PA-C (PHYSICIAN ASSISTANT)
(435) 635-1148
Entity
Organization
Contact information
Practice address
25 N 2000 W STE 3, HURRICANE, UT 84737-4115
(435) 635-1148
(435) 635-1146
Mailing address
25 N 2000 W STE 3, HURRICANE, UT 84737-4115
(435) 635-1148
(435) 635-1146
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
7443632-1206
UT
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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