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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