Organization
UTAH VASCULAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON JAMES JENSEN JR. (COO)
(801) 225-6246
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 205, PROVO, UT 84604-5044
(801) 374-9100
(801) 374-9117
Mailing address
1055 N 300 W STE 205, PROVO, UT 84604-5044
(801) 374-9100
(801) 374-9117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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