specializing in family medicine in Provo, Utah

NPI: 1790175628

Provider Type

2

Practice Locations

Mailing Location

5050 SPRING VALLEY RD

DALLAS, TX 75244

📞 9723674845

📠 9723673452

Practice Location

173 RICHARDS BUILDING

DANCE DEPARTMENT

PROVO, UT 84602

📞 9723674845

📠 9723673452

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:1/30/2015
Last Updated:5/11/2017

Credentials

Primary Credential:
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