Organization
PAIUTE INDIAN TRIBE OF UTAH
Active
Other names
Kanosh Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER PRISBREY (CFO)
(435) 586-1112
Entity
Organization
Contact information
Practice address
157 N PAIUTE DR RESERVATION RD, KANOSH, UT 84637
(435) 759-2610
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84720-2681
(435) 586-1112
(435) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
02/22/2024
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