Unknown Individual – Medical Specialty Clinic/Center, NPI 1760464895
Medical Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1055, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States
SUITE 212
PROVO, UT 84604
Phone: (801) 357-7676
Fax: (801) 357-7666
Mailing address matches the actual address.
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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