| Hugo G. Altamirano Md Llc | |
|
745 N 500 W # 200 Provo UT 84601-1472 | |
| (801) 375-9292 | |
| (801) 375-9290 |
| Full Name | Hugo G. Altamirano Md Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 745 N 500 W # 200, Provo, Utah |
| Authorized Official Name and Position | Hugo G Altamirano (ASSOCIATE PHYSICIAN) |
| Authorized Official Contact | 8013759292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugo G. Altamirano Md Llc 745 N 500 W # 200 Provo UT 84601-1472 Ph: (801) 375-9292 | Hugo G. Altamirano Md Llc 745 N 500 W # 200 Provo UT 84601-1472 Ph: (801) 375-9292 |
| NPI Number | 1578759114 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578759114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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