Individual
WILLIAM PROVINCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(438) 658-7000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(317) 828-1912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9448540-1205
UT
Other
Enumeration date
04/13/2010
Last updated
09/17/2015
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