Organization · Type 2 NPI
Riverside Medical Center LLC
Multi-Specialty Clinic/Center · Provo, UT
NPI number
1649567504
Active
Practice location
3152 N University Ave Ste 100
Provo, UT 84604-4729
Fax (801) 229-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1649567504
Riverside Medical Center LLC's National Provider Identifier is 1649567504, issued on Jun 29, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Provo, UT. The record was last updated on Nov 1, 2012.