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NPI Code Detail

MEDICARE: ARAGON MEDICAL

MEDICARE: ARAGON MEDICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2261QP2300XPrimary Care Clinic/Center
3314000000XSkilled Nursing Facility
4363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1588228811
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARAGON MEDICAL
Provider Business Mailing Address
First Line : 9980 S 300 W STE 200
Second Line :
City : SANDY
State : UT
Zip : 84070-3654
Country : US
Telephone Number : 385-495-4151
Fax Number : 844-596-0409
Provider Business Practice Location Address
First Line : 9980 S 300 W STE 200
Second Line :
City : SANDY
State : UT
Zip : 84070-3654
Country : US
Telephone Number : 385-495-4151
Fax Number : 844-596-0409
Authorized Official
Title or Position : BUSINESS MANAGER
Name : GWENDI RENE DEAL
Credential :
Telephone Number : 307-362-5500
Provider Enumeration Date : 04/23/2019
Last Update Date : 01/17/2020

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Directions to “ARAGON MEDICAL ” Practice Location

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