specializing in family medicine in Provo, Utah

NPI: 1265942163

Provider Type

2

Practice Locations

Mailing Location

560 S 300 E STE 275

SALT LAKE CITY, UT 84111

📞 8014411002

Practice Location

4907 NORTH 300 WEST

PROVO, UT 84604

📞 8017058040

📠 8017655740

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/5/2017
Last Updated:1/30/2020

Credentials

Primary Credential:
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