<unavail> in Provo, UT - Internal Medicine

is a primary clinic (Internal Medicine) in Provo, Utah. The current practice location for is 380 W 1230 N, Ste 602, Provo, Utah. For appointments, you can reach them via phone at (801) 442-1853. The mailing address for is Po Box 27128, Salt Lake City, Utah and phone number is (801) 442-1853.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1578079059. 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) 442-1853.

Contact Information


	380 W 1230 N Ste 602 Provo UT 84604
	(801) 442-1853
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853	380 W 1230 N Ste 602 Provo UT 84604 Ph: (801) 442-1853

NPI Details:

NPI Number	1578079059
Provider Enumeration Date	12/20/2017
Last Update Date	12/20/2017

Medical Identifiers

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

Identifier	Type	State	Issuer
1578079059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Reviews and Comments

Internal Medicine in Provo, UT

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- Primary Care in Provo, UT