Organization
DIAGNOSTIC EVALUATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H QUTUB MD (MEMBER)
(303) 246-9879
Entity
Organization
Contact information
Practice address
385 N 500 W, PROVO, UT 84601-2681
(303) 246-9879
Mailing address
PO BOX 271388, LITTLETON, CO 80127-0023
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9357124-0151
UT
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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