Organization
UTAH VALLEY RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBALL B TAYLOR MD (CHAIRMAN, PRESIDENT)
(801) 225-6246
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 104, PROVO, UT 84604-3381
(801) 379-6700
(801) 225-1525
Mailing address
PO BOX 1623, EVANSVILLE, IN 47706-0025
(801) 379-6700
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87028448008
—
UT
Enumeration date
05/12/2006
Last updated
03/04/2024
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