NPI 1639318736
Utah County
Practice location
- Address
- 315 S 100 E, Provo, UT 84606-4649
- Phone
- (801) 851-8554
- Fax
- (801) 851-8518
Authorised official
- Name
- Autumn Jones
- Title
- Secretary
- Phone
- (801) 851-8546
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1639318736
- Entity type
- Organization
- NPI issued
- 12 Feb 2009
- Record last updated
- 12 Feb 2009
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.