Organization
CANYON VIEW MEDICAL GROUP LLC
Active
Other names
Spanish Fork Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON LOWE (OFFICE ADMINISTRATOR)
(801) 798-7301
Entity
Organization
Contact information
Practice address
336 W 100 S, SPANISH FORK, UT 84660-5881
(801) 798-7301
(801) 798-8513
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7334
RAIL ROAD MEDICARE
UT
Enumeration date
07/11/2006
Last updated
03/16/2023
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