Organization
INTERMOUNTAIN HEALTHCARE
Active
Other names
Utah Valley Pulmonary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY GILES (OPERATIONS DIRECTOR)
(801) 357-2063
Entity
Organization
Contact information
Practice address
1055 N 300 W, 500, PROVO, UT 84604-3344
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
44723
UT
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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