Individual
DR. ALEX MAGENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 W 2230 N STE 225, PROVO, UT 84604-6709
(385) 230-7799
Mailing address
333 W 2230 N STE 225, PROVO, UT 84604-6709
(385) 230-7799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13362821-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
04/02/2026
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