OrganizationActive
Central Utah Clinic, P.C.
NPI 1669930475 · Multi-Specialty Clinic/Center · Mesquite, NV
Provider details
- NPI number
- 1669930475
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jed Harston, Director of Payer Relations
Practice location
330 Falcon Ridge Pkwy Ste 400a
Mesquite, NV 89027-8881
Phone: (801) 377-5757
Fax: (801) 418-0941
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2019-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.