Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-09-22
- Last updated
- 2020-08-22
Specialties
Licenses
- License UT
- 2729L
Location
- Practice location
- 730 NO. MAIN ST.
- City
- LEEDS UT
- Postal code
- 847460901
- Phone
- 435-879-2881
Organization contact
- Name
- MAURICE HALL
- Title
- District President
- Phone
- 4358796829
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.