Unknown Individual – Nephrology Physician, NPI 1548588114
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1055 NORTH 500 WEST
PROVO, UT 84604
Phone: (801) 375-8858
Fax: (801) 418-0941
Type: Mailing
1055 N 500 W
SUITE 222
PROVO, UT 846043305
Phone: (801) 377-4623
Fax: (801) 429-8150
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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