specializing in family medicine in Provo, Utah

NPI: 1881881993

Provider Type

2

Practice Locations

Mailing Location

1959 N STATE ST

PROVO, UT 84604

📞 8013732001

📠 8013734748

Practice Location

1959 N STATE ST

PROVO, UT 84604

📞 8013732001

📠 8013734748

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/2/2007
Last Updated:10/2/2007

Credentials

Primary Credential:
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