Individual
ALISA BLOUNT VON RIOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 E CENTER ST, SOUTHEAST UNIT, PROVO, UT 84606-3554
(801) 344-4400
(801) 344-4325
Mailing address
PO BOX 270, RAMPTON II, SOUTHEAST UNIT, PROVO, UT 84603-0270
(801) 344-4400
(801) 344-4325
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3598241205
UT
Other
Enumeration date
09/02/2006
Last updated
10/18/2007
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