AUDREY JANTZEN, M.D. PLLC is a medical specialty clinic center in Provo, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AUDREY JANTZEN, M.D. PLLC NPI is 1538391339. The provider is registered as an organization entity type.
The provider's business location address is:
3685 N 100 E
SUITE A
PROVO, UT
ZIP 84604-594
Phone: (801) 229-1954
Fax: (801) 426-6338
The provider's authorized official is Audrey Jantzen .
The authorized official title is Manager and has the following contact phone number (801) 229-1054.
The enumeration date for this NPI number is 8/13/2009 and was last updated on 8/13/2009.