Riverwoods Interventional Radiology INC

NPI #1477646479 in Provo, Utah

Provider Information

NPI Number
1477646479
Entity Type
Organization
Organization Name
Riverwoods Interventional Radiology INC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 2, 2006
Last Updated
Oct 27, 2011

Practice Location

Address
3152 N UNIVERSITY AVE
Address 2
SUITE 150
City
Provo
State
Utah
ZIP Code
84604-4729
Phone
(801) 437-4895

Authorized Official

Name
WENDELL A GIBBY, MD
Title
OWNER
Phone
(801) 437-4895

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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