NPI 1871203414
Noorda College of Osteopathic
Practice location
- Address
- 2162 South 180 East, STE 1000, Provo, UT 84606
- Phone
- (385) 380-3425
- Mailing address
- 2162 S 180 E STE 1000, Provo, UT 84606-7370
Authorised official
- Name
- Jennifer Shumway
- Title
- Director of Clinical Operations
- Phone
- (801) 380-0015
Registered specialties (2)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1871203414
- Entity type
- Organization
- NPI issued
- 5 Dec 2022
- Record last updated
- 26 Nov 2024
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.