specializing in preventive medicine in Provo, Utah

NPI: 1104127901

Provider Type

2

Practice Locations

Mailing Location

PO BOX 27128

SALT LAKE CITY, UT 84127

📞 8013578156

📠 8013578156

Practice Location

395 W COUGAR BLVD STE 101

PROVO, UT 84604

📞 8013578156

📠 8013578156

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/10/2010
Last Updated:1/14/2021

Credentials

Primary Credential:
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null null null - Preventive Medicine in Provo, Utah