Med-Go

Organization Active NPI Primary Care Clinic/Center · Kanab, UT

NPI 1447709704 · NPPES record last updated Sep 28, 2016

Key facts

NPI
1447709704
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
3921 (UT)
Legal business name
MED-GO
Practice address
310 S 100 E
Kanab, UT 84741-3681
Phone
(435) 644-2225
Fax
(435) 644-2226
NPI assigned
Sep 28, 2016
Organization subpart
No

Authorized official

Name
Hernan Javier Garreaud, PA-C
Title
Owner
Phone
(435) 689-0000

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

310 S 100 E
Kanab, UT 84741
Phone (435) 644-2225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3921 UT Yes

Addresses

Primary practice location

310 S 100 E
Kanab, UT 84741-3681

Mailing address

310 S 100 E
Kanab, UT 84741-3681
Phone (435) 644-2225

Other names

  • High Desert Family Clinic Doing business as

Other providers in Kanab, UT

All providers in Kanab, UT · Primary Care Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.