Whalio Doctors

NPI 1154370765

Mazen Sires, MD

Practitioner Hospitalist Physician Provo, UT

Practice location

Address
1034 N 500 W, Provo, UT 84604-3380
Phone
(801) 357-8310
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 6049611-1205 (UT)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 60496111205 (UT)

Registry record

NPI
1154370765
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 May 2006
Record last updated
19 Apr 2023

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.