Audrey Jantzen, M.d. Pllc

NPI #1538391339 in Provo, Utah

Provider Information

NPI Number
1538391339
Entity Type
Organization
Organization Name
Audrey Jantzen, M.d. Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Aug 13, 2009
Last Updated
Aug 13, 2009

Practice Location

Address
3685 N 100 E
Address 2
SUITE A
City
Provo
State
Utah
ZIP Code
84604-4594
Phone
(801) 229-1954

Authorized Official

Name
DR. AUDREY JANTZEN
Title
MANAGER
Phone
(801) 229-1054

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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