Samantha Bengtzen Derzon, MD

NPI #1053060939 in Provo, Utah

Provider Information

NPI Number: 1053060939
Entity Type: Individual
Name: Samantha Bengtzen Derzon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 19, 2022
Last Updated: May 28, 2025

Practice Location

Address: 475 W 940 N
City: Provo
State: Utah
ZIP Code: 84604-3301
Phone: (801) 357-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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