Organization · Type 2 NPI
MTC Medical, LLC
Prison Health Clinic/Center · Centerville, UT
NPI number
1720759236
Active
Practice location
500 N Market Place Dr Ste 100
Centerville, UT 84014-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
About NPI 1720759236
MTC Medical, LLC's National Provider Identifier is 1720759236, issued on Sep 23, 2021. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Centerville, UT. The record was last updated on Sep 23, 2021.