NPI 1043775182
Jonathan Boyd Malyon
Practice location
- Address
- 750 N Freedom Blvd, Provo, UT 84601-1677
- Phone
- (801) 373-4760
- Fax
- (801) 373-0639
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1043775182
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Feb 2019
- Record last updated
- 3 Feb 2019
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.