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Organization

BRIGHAM CITY ARTHRITIS CLINIC PC

Active
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Organization

BRIGHAM CITY ARTHRITIS CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD VONK MD (PHYSICIAN)
(435) 723-5500
Entity
Organization

Contact information

Practice address
984 SOUTH MEDICAL DR, SUITE #3, BRIGHAM CITY, UT 84302
(435) 723-5500
(435) 723-5507
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(801) 352-9500
(801) 352-9502

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
1695551205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118919100
WY
05
485484678053
UT
05
806633400
ID
Enumeration date
11/14/2006
Last updated
04/07/2011
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