Organization
UTAH VALLEY FAMILY MEDICINE RESIDENCY
Active
Parent organization
INTERMOUNTAIN HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERMOUNTAIN HEALTHCARE
Authorized official
MRS. MICHELLE JUDD BS (RESIDENCY COORDINATOR)
(801) 357-7926
Entity
Organization
Contact information
Practice address
475 W. 940 S., PROVO, UT 84604-3301
(801) 357-7926
(801) 357-7927
Mailing address
475 W. 940 S., PROVO, UT 84604
(801) 357-7926
(801) 357-7927
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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