BRIGHAM YOUNG UNIVERSITY is a student in an organized health care education training program in Provo, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. BRIGHAM YOUNG UNIVERSITY NPI is 1215027099. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1130 SFH SPORTS MED
PROVO, UT
ZIP 84602
Phone: (801) 377-6918
Fax: (801) 377-6919
The provider's authorized official is Michael King .
The authorized official title is Associate Athletic Director/control and has the following contact phone number (801) 422-2098.
The CLIA number assigned to this NPI record is 46D0679469 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/21/2022.