Provas of Salt Lake, LLC
NPI #1407410244 in Sandy, Utah
Provider Information
- NPI Number
- 1407410244
- Entity Type
- Organization
- Organization Name
- Provas of Salt Lake, LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Apr 26, 2019
- Last Updated
- Apr 26, 2019
Practice Location
Authorized Official
- Name
- JOHN HEWETT, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (801) 386-4240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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