Main Street Family Medicine PLLC
Main Street Family Medicine PLLC provides Family Medicine Physician services in Enterprise, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
571 E Main StEnterprise, UT 84725
Phone: (435) 878-5711
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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 | 1518636844 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Colten Bracken — Md/Owner · (435) 878-5711 |
| NPI enumerated | September 9, 2021 |
| Last updated in NPPES | October 29, 2021 |
| Certification date | October 29, 2021 |
| Mailing address | 571 East Main Street, Enterprise, UT 84725 |
Other providers in Enterprise
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Colten Dirk Bracken, MD
571 E Main St, Enterprise, UT 84725 · (435) 878-5711