Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-12-05
- Last updated
- 2020-08-22
Specialties
Licenses
- License UT
- 2005-ALI-18383
Location
- Practice location
- 1364 S POWELL DR
- City
- KANAB UT
- Postal code
- 847416208
- Phone
- 435-644-8100
Organization contact
- Name
- CHAD SZYMANSKI
- Title
- Administrator
- Phone
- 9286600681
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.