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PROVAS OF PROVO NPI 1679180509


NPI Information

NPI: 1679180509
Provider Name: PROVAS OF PROVO
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 46D2178854

Address:
320 RIVER PARK DR STE 215
PROVO, UT
ZIP 84604
Phone: (801) 689-3246
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PROVAS OF PROVO is a vascular and interventional radiology radiology in Provo, UT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PROVAS OF PROVO NPI is 1679180509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 RIVER PARK DR STE 215
PROVO, UT
ZIP 84604-065
Phone: (801) 689-3246
Fax: (801) 689-3277

The provider's authorized official is John J Hewett .
The authorized official title is President and has the following contact phone number (801) 689-3246.

The CLIA number assigned to this NPI record is 46D2178854 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/24/2020 and was last updated on 9/24/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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