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Intermountain Healthcare Valid NPI

Organization · Multi-Specialty Clinic/Center · Provo, UT

NPI
1326096728
Type
Organization (Type 2)
Primary specialty
Multi-Specialty Clinic/Center (Clinic/Center)
Specialty group
Ambulatory Health Care Facilities
Taxonomy code
261QM1300X
License number
44723 (UT)
Enumerated
2006-05-05
Last updated
2020-08-22
Practice location
1055 N 300 W, 500
Provo, UT 84604-3344
(801) 357-7291

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