SPORTERDO LLC

PROVO, UT
NPI1023344272
Entity TypeOrganization
Authorized ContactSTUART PORTER
Physician
801-375-7100
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  288579 1204)
Enumeration Date2009-10-22
Last Update Date2009-10-22
Business Address
SPORTERDO LLC
3650 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-6656
Phone number: 801-375-7100
Mailing Address
SPORTERDO LLC
3650 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-6656
Phone number: 801-375-7100
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