No Roll Up Timpanogos LLC

NPI #1831153840 in Provo, Utah

Provider Information

NPI Number: 1831153840
Entity Type: Organization
Organization Name: No Roll Up Timpanogos LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 14, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 1055 N 500 W
Address 2: STE 222
City: Provo
State: Utah
ZIP Code: 84604-3329
Phone: (801) 356-8907

Authorized Official

Name: THOMAS O USILTON JR.
Title: GROUP VICE PRESIDENT
Phone: (770) 541-7922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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