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Individual

MR. DAVID BRENT MCQUIVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSAC

Contact information

Practice address
151 S UNIVERSITY AVE # 1500, PROVO, UT 84601-4427
(801) 851-7112
Mailing address
151 S UNIVERSITY AVE # 1500, PROVO, UT 84601-4427
(801) 851-7112

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
351454-6006
UT

Other

Enumeration date
03/28/2011
Last updated
03/28/2011
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