UTAH VASCULAR CENTER NPI 1336264050

NPI Information

UTAH VASCULAR CENTER is a specialist in Provo, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UTAH VASCULAR CENTER NPI is 1336264050. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1055 N 300 W STE 205
PROVO, UT
ZIP 84604-044
Phone: (801) 374-9100
Fax: (801) 374-9117

The provider's authorized official is Leon James Jensen .
The authorized official title is Coo and has the following contact phone number (801) 225-6246.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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