Intermountain Heathcare

NPI #1396794277 in Provo, Utah

Provider Information

NPI Number
1396794277
Entity Type
Organization
Organization Name
Intermountain Heathcare
Primary Specialty
Hospitalist
Enumeration Date
May 9, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1055 N 300 W
Address 2
500
City
Provo
State
Utah
ZIP Code
84604-3344
Phone
(801) 357-7291

Authorized Official

Name
BRADY GILES
Title
OPERATIONS DIRECTOR
Phone
(801) 357-2063

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Hospitalist

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