Aaron Provance, MD
NPI #1710024005 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1710024005
- Entity Type
- Individual
- Name
- Aaron Provance, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Sports Medicine
- Credential
- MD
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jun 25, 2023
Practice Location
- Address
- 590 S WAKARA WAY
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84108-7106
- Phone
- (801) 587-7109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Sports Medicine — Sports Medicine |
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