NPI 1174707046

William R Graden, MD

Practitioner General Practice Physician Provo, UT

Practice location

Address: 1750 N Wymount Terrace Dr, Provo, UT 84602-4405
Phone: (801) 422-2771
Fax: (801) 422-0761

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 4806596-1205 (UT)

Other General Practice providers in Utah →

Registry record

NPI: 1174707046
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2007
Record last updated: 28 Jan 2008

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.