In Home Provider
In Home Provider is a Family Medicine Physician in Santa Clara, Utah. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2432 Concord AveSanta Clara, UT 84765-5621
Phone: (435) 659-7352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1871131623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Whittier — Coo · (435) 709-8786 |
| NPI enumerated | December 11, 2019 |
| Last updated in NPPES | December 11, 2019 |
| Certification date | December 11, 2019 |
| Mailing address | 387 W 100 S, Heber City, UT 84032-1835 |