Central Utah Clinic, P.c.

NPI #1316330749 in Provo, Utah

Provider Information

NPI Number
1316330749
Entity Type
Organization
Organization Name
Central Utah Clinic, P.c.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 10, 2015
Last Updated
Jun 16, 2018

Practice Location

Address
1055 N 500 W STE 202
City
Provo
State
Utah
ZIP Code
84604-3305
Phone
(801) 374-2367

Authorized Official

Name
JED HARSTON
Title
DIRECTOR OF MANAGED CARE
Phone
(801) 812-5012

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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