Provas of Provo

NPI #1679180509 in Provo, Utah

Provider Information

NPI Number: 1679180509
Entity Type: Organization
Organization Name: Provas of Provo
Primary Specialty: Radiology - Vascular & Interventional Radiology
Enumeration Date: Sep 24, 2020
Last Updated: Sep 24, 2020

Practice Location

Address: 320 RIVER PARK DR STE 215
City: Provo
State: Utah
ZIP Code: 84604-6065
Phone: (801) 689-3246

Authorized Official

Name: JOHN J HEWETT, MD
Title: PRESIDENT
Phone: (801) 689-3246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X	Primary

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