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The Dirty Dozen, Llc.

The Dirty Dozen, Llc. is a health care provider in Tremonton, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 805 W Main St Ste C, Tremonton, UT 84337-2608, US
Practice Location Phone435-257-0106
Practice Location Fax
Legal Business NameTHE DIRTY DOZEN, LLC.
Other Organization Name TypeDoing Business As Name
NPI ?1811387624
Entity TypeOrganization
Enumeration Date ? Feb 1, 2015
Last Update Date ? Feb 1, 2015
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Dirty Dozen, Llc.

SpecialtySpecializationLicenseLicense State

official-icon Authorized Official of The Dirty Dozen, Llc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Dirty Dozen, Llc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Leland Phelps (D.C.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number435-257-0106