Individual
ANTHONY MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3281 N MAIN ST, SPANISH FORK, UT 84660-8501
(385) 268-5070
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
04/23/2025
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