NPI 1679180509

Provas of Provo

Organisation Vascular & Interventional Radiology Physician Provo, UT

Practice location

Address: 320 River Park Dr STE 215, Provo, UT 84604-6065
Phone: (801) 689-3246
Fax: (801) 689-3277
Mailing address: 955 Chambers St STE 105, South Ogden, UT 84403-5085

Authorised official

Name: John J Hewett
Title: President
Phone: (801) 689-3246

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Utah →

Registry record

NPI: 1679180509
Entity type: Organization
NPI issued: 24 Sep 2020
Record last updated: 24 Sep 2020

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.