MR. David Brent Mcquivey, LSAC

NPI #1144519380 in Provo, Utah

Provider Information

NPI Number
1144519380
Entity Type
Individual
Name
MR. David Brent Mcquivey, LSAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Credential
LSAC
Enumeration Date
Mar 28, 2011
Last Updated
Mar 28, 2011

Practice Location

Address
151 S UNIVERSITY AVE # 1500
City
Provo
State
Utah
ZIP Code
84601-4427
Phone
(801) 851-7112

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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