Central Utah Clinic, P.c.

NPI #1437341427 in Provo, Utah

Provider Information

NPI Number: 1437341427
Entity Type: Organization
Organization Name: Central Utah Clinic, P.c.
Primary Specialty: Radiologic Technologist - Radiation Therapy
Enumeration Date: Aug 14, 2007
Last Updated: Mar 7, 2018

Practice Location

Address: 1055 N 500 W
Address 2: SUITE 102
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	Taxonomy Code	Primary
Radiologic Technologist - Radiation Therapy — Radiation Therapy	2471R0002X	Primary

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