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Northwestern Band Of The Shoshone
General Practice Physician in Brigham City, Utah
NPI 1841856986

Northwestern Band Of The Shoshone is a General Practice Physician based in Brigham City, UT. Northwestern Band Of The Shoshone practices in Brigham City, UT. The NPI Number for Northwestern Band Of The Shoshone is 1841856986 and holds a License No. (Utah).

The current practice location address for Northwestern Band Of The Shoshone is 984 S 500 W Ste 3, Brigham City, UT and can be reached out via phone at 435-239-8524.

Location: 984 S 500 W Ste 3, Brigham City, UT, 84302-1449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841856986
Provider Name
Northwestern Band Of The Shoshone
Credential
Provider Entity Type
Organization
Address
984 S 500 W Ste 3, Brigham City, UT, 84302-1449
Phone Number
435-239-8524
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
984 S 500 W Ste 3
City
Brigham City
State
Utah
Zip
84302-4712
Phone Number
435-239-8524
Fax Number
person
Provider Business Mailing Address Details
Address
984 S 500 W Ste 3
City
Brigham City
State
Utah
Zip
84302-4712
Phone Number
435-239-8524
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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