CENTRAL UTAH CLINIC, P.C. is a non pharmacy dispensing site in Provo, UT. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CENTRAL UTAH CLINIC, P.C. NPI is 1316330749. The provider is registered as an organization entity type.
The provider Is Doing Business As Revere Health.
The provider's business location address is:
1055 N 500 W STE 202
PROVO, UT
ZIP 84604-305
Phone: (801) 374-2367
Fax: (801) 429-8015
The provider's authorized official is Jed Harston .
The authorized official title is Director Of Managed Care and has the following contact phone number (801) 812-5012.
The enumeration date for this NPI number is 3/10/2015 and was last updated on 6/16/2018.