| Freedom Medical Center | |
|
1675 N Freedom Blvd Ste 11e Provo UT 84604-6936 | |
| (801) 373-8500 | |
| (801) 373-3426 |
| Full Name | Freedom Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1675 N Freedom Blvd Ste 11e, Provo, Utah |
| Authorized Official Name and Position | Dennis W. Remington (PHYSICIA) |
| Authorized Official Contact | 8013738500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Medical Center 1675 N Freedom Blvd Ste 11e Provo UT 84604-6936 Ph: (801) 373-8500 | Freedom Medical Center 1675 N Freedom Blvd Ste 11e Provo UT 84604-6936 Ph: (801) 373-8500 |
| NPI Number | 1912137084 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912137084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1647951205 (Utah) | Primary |
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