OrganizationActive
Advanced Health Clinic
NPI 1386863108 · Specialist · Farmington, UT
Provider details
- NPI number
- 1386863108
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Larson, Office Manager(801) 447-8680
Specialties & taxonomies
Other Service Providers
Practice location
630 Shepard Ln
Farmington, UT 84025-3934
Phone: (801) 447-8680
Fax: (801) 447-4211
Approximate (ZIP-level) locationGet directions
Mailing address
630 Shepard Ln
Farmington, UT 84025-3934
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2009-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.