| Utah Valley Internal Medicine | |
|
380 W 1230 N Ste 602 Provo UT 84604 | |
| (801) 442-1853 | |
| Not Available |
| Full Name | Utah Valley Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 380 W 1230 N, Provo, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP CHIEF EXEC PHYS/MG PRES) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Valley Internal Medicine Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | Utah Valley Internal Medicine 380 W 1230 N Ste 602 Provo UT 84604 Ph: (801) 442-1853 |
| NPI Number | 1578079059 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578079059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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