| Canyonview Family Practice | |
|
3200 N Canyon Rd Ste C Provo UT 84604-4571 | |
| (801) 373-7373 | |
| (801) 373-1808 |
| Full Name | Canyonview Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3200 N Canyon Rd Ste C, Provo, Utah |
| Authorized Official Name and Position | Ronald L Baird (OWNER) |
| Authorized Official Contact | 8013737373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyonview Family Practice 3200 N Canyon Rd Ste C Provo UT 84604-4571 Ph: (801) 373-7373 | Canyonview Family Practice 3200 N Canyon Rd Ste C Provo UT 84604-4571 Ph: (801) 373-7373 |
| NPI Number | 1992711659 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992711659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39472 (Utah) | Primary |
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