Organization · Type 2 NPI
Provas of Provo
Vascular & Interventional Radiology Physician · Provo, UT
NPI number
1679180509
Active
Practice location
320 River Park Dr Ste 215
Provo, UT 84604-6065
Fax (801) 689-3277
Mailing address
955 Chambers St Ste 105
South Ogden, UT 84403-5085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
About NPI 1679180509
Provas of Provo's National Provider Identifier is 1679180509, issued on Sep 24, 2020. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Provo, UT. The record was last updated on Sep 24, 2020.