| Utah Valley Family Medicine | |
|
395 W Cougar Blvd Ste B Provo UT 84604-3311 | |
| (801) 373-3300 | |
| Not Available |
| Full Name | Utah Valley Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 395 W Cougar Blvd Ste B, Provo, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHY EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Valley Family Medicine Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 373-3300 | Utah Valley Family Medicine 395 W Cougar Blvd Ste B Provo UT 84604-3311 Ph: (801) 373-3300 |
| NPI Number | 1992831218 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992831218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33829 (Utah) | Primary |
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