Organization
PROVAS OF PROVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J HEWETT MD (PRESIDENT)
(801) 689-3246
Entity
Organization
Contact information
Practice address
320 RIVER PARK DR STE 215, PROVO, UT 84604-6065
(801) 689-3246
(801) 689-3277
Mailing address
955 CHAMBERS ST STE 105, SOUTH OGDEN, UT 84403-5085
(801) 689-3246
(801) 689-3277
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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