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Organization
RIVERWOODS INTERVENTIONAL RADIOLOGY INC
Active
Organization
RIVERWOODS INTERVENTIONAL RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL A GIBBY MD (OWNER)
(801) 437-4895
Entity
Organization
Contact information
Practice address
3152 N UNIVERSITY AVE, SUITE 150, PROVO, UT 84604-4729
(801) 437-4895
(801) 229-1003
Mailing address
3152 N UNIVERSITY AVE, SUITE 150, PROVO, UT 84604-4729
(801) 437-4895
(801) 229-1003
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5414031-1704
UT
Other
Enumeration date
10/02/2006
Last updated
10/27/2011
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