Individual provider · Type 1 NPI

Lance Dustin Edmonds, MD

Diagnostic Radiology Physician · Provo, UT

NPI number 1124214374 Active

Practice location

1055 N 500 W Ste 112
Provo, UT 84604-3305

Call (801) 812-4624 Map

Fax (801) 812-4699

Mailing address

1055 N 500 W, Attn Credentialing
Provo, UT 84604

Other practice locations

  • 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 · (385) 345-3155
  • 555 W State Road 164, Salem, UT 84653-5732 · (801) 812-4624
  • 2825 E Mall Dr, St. George, UT 84790-1954 · (435) 986-2238
  • 1175 E 50 S Ste 141, American Fork, UT 84003-2845 · (801) 492-5996

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XA108694 (CA)
Diagnostic Radiology Physician Primary 2085R0202X380515-1205 (UT)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6 other providers at this address

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About NPI 1124214374

Lance Dustin Edmonds, MD's National Provider Identifier is 1124214374, issued on Sep 21, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Provo, UT. The record was last updated on Mar 20, 2025.