<unavail> in Provo, UT - Internal Medicine

is a primary clinic (Internal Medicine) in Provo, Utah. The current practice location for is 1034 N 500 W, Provo, Utah. For appointments, you can reach them via phone at (801) 357-7475. The mailing address for is Po Box 30180, Salt Lake City, Utah and phone number is (801) 357-7475.

is licensed to practice in Utah (license number 2006HOSP210) and its NPI number is 1235189002. 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) 357-7475.

Contact Information


	1034 N 500 W Provo UT 84604-3380
	(801) 357-7475
	(801) 357-7997

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1034 N 500 W, Provo, Utah
Authorized Official Name and Position	Craig Wiley (PAS MGR)
Authorized Official Contact	8013577027
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 30180 Salt Lake City UT 84130-0180 Ph: (801) 357-7475	1034 N 500 W Provo UT 84604-3380 Ph: (801) 357-7475

NPI Details:

NPI Number	1235189002
Provider Enumeration Date	05/11/2006
Last Update Date	08/22/2020

Medical Identifiers

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

Identifier	Type	State	Issuer
1235189002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2006HOSP210 (Utah)	Primary

Reviews and Comments

Internal Medicine in Provo, UT

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-429-8000 Fax: 801-429-8150

- Primary Care in Provo, UT