Nahuel Image Center

NPI #1205232923 in Provo, Utah

Provider Information

NPI Number: 1205232923
Entity Type: Organization
Organization Name: Nahuel Image Center
Primary Specialty: Clinic/Center
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 1700 N STATE ST
Address 2: SUITE 16
City: Provo
State: Utah
ZIP Code: 84604-1011
Phone: (801) 822-5644

Authorized Official

Name: MR. MARIANO REGINATO
Title: PRESIDENT
Phone: (970) 250-6170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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