Provas of Ogden, LLC
NPI #1073170031 in South Ogden, Utah
Provider Information
- NPI Number
- 1073170031
- Entity Type
- Organization
- Organization Name
- Provas of Ogden, LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- May 24, 2019
- Last Updated
- May 24, 2019
Practice Location
- Address
- 5974 FASHION POINT DR STE 110
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-4712
- Phone
- (801) 386-4896
Authorized Official
- Name
- JOHN HEWETT, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (801) 386-4896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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