Organization
US AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JASON CASSAT MD (FAMLIY PRACTICE)
(801) 373-9947
Entity
Organization
Contact information
Practice address
831 W 1280 S, PROVO, UT 84601-6518
(801) 373-9947
Mailing address
831 W 1280 S, PROVO, UT 84601-6518
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
590260-1205
UT
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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