DIAMOND SPRINGS WELLNESS CENTER PC NPI 1780980391

NPI Information

DIAMOND SPRINGS WELLNESS CENTER PC is a family medicine in Midway, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DIAMOND SPRINGS WELLNESS CENTER PC NPI is 1780980391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 E MAIN ST
SUITE 101
MIDWAY, UT
ZIP 84049-806
Phone: (435) 657-1777
Fax: (435) 657-0098

The provider's authorized official is Judith S Moore .
The authorized official title is Owner and has the following contact phone number (435) 657-1777.

The CLIA number assigned to this NPI record is 46D2019537 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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