| Cottontree Family Practice | |
|
2230 N University Pkwy Suite 1a Provo UT 84604-1509 | |
| (801) 377-3413 | |
| (801) 655-1890 |
| Full Name | Cottontree Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2230 N University Pkwy, Provo, Utah |
| Authorized Official Name and Position | Shauna Manhart (MANAGER) |
| Authorized Official Contact | 8013773413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottontree Family Practice 2230 N University Pkwy Suite 1a Provo UT 84604-1509 Ph: (801) 377-3413 | Cottontree Family Practice 2230 N University Pkwy Suite 1a Provo UT 84604-1509 Ph: (801) 377-3413 |
| NPI Number | 1407036189 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407036189 | NPI | - | NPPES |
| 1407036189 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Utah) | Primary |
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