Ingegrative Medical Assicates | |
3650 N University Ave Suite 200 Provo UT 84604-6656 | |
(801) 375-7100 | |
(801) 375-7102 |
Full Name | Ingegrative Medical Assicates |
---|---|
Speciality | Family Medicine |
Location | 3650 N University Ave, Provo, Utah |
Authorized Official Name and Position | Stuart Porter (PHYSICIAN) |
Authorized Official Contact | 8013757100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ingegrative Medical Assicates 3650 N University Ave Suite 200 Provo UT 84604-6656 Ph: (801) 375-7100 | Ingegrative Medical Assicates 3650 N University Ave Suite 200 Provo UT 84604-6656 Ph: (801) 375-7100 |
NPI Number | 1023344272 |
---|---|
Provider Enumeration Date | 10/22/2009 |
Last Update Date | 10/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023344272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 288579 1204 (Utah) | Primary |
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