Organization
CANYON MEDICAL GROUP LLC
Active
Other names
Treehouse Pediatrics & Family Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WIMMER (MANAGER)
(435) 750-5599
Entity
Organization
Contact information
Practice address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
(435) 750-0861
Mailing address
1624 N 200 E STE 160, LOGAN, UT 84341-3175
(435) 750-5599
(435) 750-0861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0708814
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528291883001
—
UT
Enumeration date
10/10/2007
Last updated
01/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us