Organization · Type 2 NPI

Intermountain Vein Center

Specialist · Provo, UT

NPI number 1104959758 Active

Practice location

1055 N 300 W, #308
Provo, UT 84604-3344

Mailing address

283 E 930 S
Orem, UT 84058-5001

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104959758

Intermountain Vein Center's National Provider Identifier is 1104959758, issued on Mar 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Provo, UT. The record was last updated on Aug 22, 2020.