specializing in family medicine in Provo, Utah

NPI: 1558404426

Provider Type

2

Practice Locations

Mailing Location

PO BOX 27128

SALT LAKE CITY, UT 84127

📞 8014421652

📠 8014420653

Practice Location

475 W 940 N

PROVO, UT 84604

📞 8013577930

📠 8014420653

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/14/2007
Last Updated:6/20/2008

Credentials

Primary Credential:
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