Confederated Tribes of the Goshute Reservation
Confederated Tribes of the Goshute Reservation provides General Practice Physician services in Ibapah, Utah. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
195 Tribal Center RdIbapah, UT 84034
Phone: (435) 234-1194
Fax: (435) 234-1202
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1750510277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Contreras — Billing · (801) 359-2256 |
| NPI enumerated | July 6, 2009 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 |