| Pamela L. Vincent, Md Corp | |
|
280 River Park Dr Ste 350 Provo UT 84604-5802 | |
| (801) 229-1014 | |
| (801) 229-1067 |
| Full Name | Pamela L. Vincent, Md Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 280 River Park Dr Ste 350, Provo, Utah |
| Authorized Official Name and Position | Amy Beth Harward (OFFICE MANAGER) |
| Authorized Official Contact | 8014374888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela L. Vincent, Md Corp 280 River Park Dr Ste 350 Provo UT 84604-5802 Ph: (801) 229-1014 | Pamela L. Vincent, Md Corp 280 River Park Dr Ste 350 Provo UT 84604-5802 Ph: (801) 229-1014 |
| NPI Number | 1831394881 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831394881 | NPI | - | NPPES |
| 562842065001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 188338-1205 (Utah) | Primary |
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