Organization · Type 2 NPI

Ihc Health Services Inc

Surgery Physician · Provo, UT

NPI number 1710136742 Active

Practice location

395 W Cougar Blvd Ste 802
Provo, UT 84604-3311

Call (801) 357-1030 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

98 N 1100 E Ste 202, American Fork, UT 84003-2941 · (801) 492-2510

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	8372008 (UT)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

6 other providers at this address

NPI record

NPI: 1710136742
Entity type: Organization (Type 2)
Issued: Sep 15, 2008
Last updated: Jul 24, 2026
Status: Active

Other names

<unavail>
American Fork Specialty Clinic - General Surgery · doing business as
American Fork Surgical Associates · doing business as
Provo Surgical Associates · doing business as

Authorized official

Robert Allen
CEO
(801) 442-2000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710136742

Ihc Health Services Inc's National Provider Identifier is 1710136742, issued on Sep 15, 2008. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Provo, UT. The record was last updated on Jul 24, 2026.