# CACHE VALLEY VEIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831662311
- **Authorized official:** DR. JOHN J STROBEL MD (PRESIDENT)
- **Authorized official phone:** (208) 542-5000

## Contact information

- **Practice address:** 565 W 465 N STE 130, PROVIDENCE, UT 84332-4802
- **Practice address phone:** (435) 753-2842
- **Mailing address:** PO BOX 30015, DEPT 597, SALT LAKE CITY, UT 84130-0015
- **Mailing address phone:** (800) 475-6236
- **Mailing address fax:** (706) 596-6712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 10/16/2026