Organization
BRIGHAM YOUNG UNIVERSITY
Active
Other names
BYU Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D KEITH WILLMORE M.D. (MEDICAL DIRECTOR)
(801) 422-7443
Entity
Organization
Contact information
Practice address
1750 N WYMOUNT TERRACE DR, 2300, PROVO, UT 84602-4800
(801) 422-2771
(801) 422-0764
Mailing address
1750 N WYMOUNT TERRACE DR, 2300 SHC, PROVO, UT 84602-4800
(801) 422-2771
(801) 422-0764
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/28/2006
Last updated
06/16/2008
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