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I CLARK LABRUM DC PC NPI 1952686818


NPI Information

NPI: 1952686818
Provider Name: I CLARK LABRUM DC PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
415 W TABERNACLE ST
ST GEORGE, UT
ZIP 84770
Phone: (435) 673-2700
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I CLARK LABRUM DC PC is a clinic center in St George, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). I CLARK LABRUM DC PC NPI is 1952686818. The provider is registered as an organization entity type.

The provider's business location address is:

415 W TABERNACLE ST
ST GEORGE, UT
ZIP 84770-797
Phone: (435) 673-2700
Fax: (434) 673-2714

The provider's authorized official is I Clark Labrum .
The authorized official title is President and has the following contact phone number 43356732700.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center166111-1202UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000005724MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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