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NPI Verification

National Provider Identifier: 1053861567

Advantage Medical Center LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Chiropractor

Code: 111N00000X

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

770 S 200 E

STE 102

BRIGHAM CITY, UT 84302

Phone: 435-723-0517

NPI Enumeration Date

October 7, 2016

NPI Number

1053861567

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Advantage Medical Center LLC - NPI 1053861567 | Provider Verification | HormoneMap