NPI 1619145455

US Air Force

Organisation Military Hospital Provo, UT

Practice location

Address: 831 W 1280 S, Provo, UT 84601-6518
Phone: (801) 373-9947

Authorised official

Name: David Jason Cassat
Title: Famliy Practice
Phone: (801) 373-9947

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 590260-1205 (UT)

Other Military Hospital providers in Utah →

Registry record

NPI: 1619145455
Entity type: Organization
NPI issued: 14 Feb 2008
Record last updated: 14 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.