| Intermountain Dixon Health Center | |
|
750 W 200 N Provo UT 84601-2606 | |
| (801) 442-1400 | |
| (801) 442-0643 |
| Full Name | Intermountain Dixon Health Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 750 W 200 N, Provo, Utah |
| Authorized Official Name and Position | Kelly J Howards (DIRECTOR OF CENTRAL AR SERVICES) |
| Authorized Official Contact | 8014421425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Dixon Health Center Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Intermountain Dixon Health Center 750 W 200 N Provo UT 84601-2606 Ph: (801) 442-1400 |
| NPI Number | 1992942635 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992942635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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