specializing in preventive medicine in Provo, Utah

NPI: 1427515170

Provider Type

2

Practice Locations

Mailing Location

PO BOX 27128

SALT LAKE CITY, UT 84127

📞 8013574141

Practice Location

395 W BULLDOG BLVD

PROVO, UT 84604

📞 8013574141

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/28/2019
Last Updated:7/19/2019

Credentials

Primary Credential: