| NPI | 1013757483 |
|---|---|
| Doing Business As | ADVANCED MOBILE IV OF PROVO/SPANISH FORK |
| Entity Type | Organization |
| Authorized Contact | TANGI PERRY Co Owner 801-592-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |