Utah Vascular Center

NPI #1336264050 in Provo, Utah

Provider Information

NPI Number: 1336264050
Entity Type: Organization
Organization Name: Utah Vascular Center
Primary Specialty: Specialist
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1055 N 300 W STE 205
City: Provo
State: Utah
ZIP Code: 84604-5044
Phone: (801) 374-9100

Authorized Official

Name: LEON JAMES JENSEN JR.
Title: COO
Phone: (801) 225-6246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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