Doctor Name: | MR. ALEC HIGGINS RIMMASCH |
NPI Number: | 1013346634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | 6590438-4405 |
Business Practice Address: | 175 N 100 W Ste 104 Vernal, UT - 840782054 |
Business Phone Number: | 4357813053 |
Business Fax Number: | 4357813055 |
Mailing Address: | 175 N 100 W Ste 104, VERNAL |
State: | UT |
Postal Code: | 840782054 |
Phone Number: | 4357813053 |
Fax Number: | 4357813055 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6590438-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |