Riverwood Advanced Diagnostic Imaging

NPI #1194818278 in Provo, Utah

Provider Information

NPI Number: 1194818278
Entity Type: Organization
Organization Name: Riverwood Advanced Diagnostic Imaging
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2006
Last Updated: Oct 27, 2011

Practice Location

Address: 3152 N UNIVERSITY AVE
Address 2: SUITE 100
City: Provo
State: Utah
ZIP Code: 84604-4729
Phone: (801) 437-4895

Authorized Official

Name: WENDELL A GIBBY, MD
Title: OWNER
Phone: (801) 437-4895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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