Individual
MR. CORBIN LEE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
75 S 200 E, PROVO, UT 84606-3146
(801) 375-2207
(801) 375-2307
Mailing address
75 S 200 E, PROVO, UT 84606-3146
(801) 375-2207
(801) 375-2307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9594970-4405
UT
Other
Enumeration date
10/22/2019
Last updated
01/03/2023
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