<unavail> in Provo, UT - Clinic/Center

is a primary clinic (Clinic/center - Multi-specialty) in Provo, Utah. The current practice location for is 750 W 200 N, Provo, Utah. For appointments, you can reach them via phone at (801) 442-1400. The mailing address for is Po Box 27128, Salt Lake City, Utah and phone number is (801) 442-1400.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1992942635. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (801) 442-1400.

Contact Information


	750 W 200 N Provo UT 84601-2606
	(801) 442-1400
	(801) 442-0643

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400	750 W 200 N Provo UT 84601-2606 Ph: (801) 442-1400

NPI Details:

NPI Number	1992942635
Provider Enumeration Date	01/16/2009
Last Update Date	01/16/2009

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992942635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Provo, UT

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- Primary Care in Provo, UT