LEENHAPONG NAVARAVONG

PROVO, UT
NPI1396937363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine Clinical Cardiac Electrophysiology
(Licence: UT  8237582-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: UT  8237582-1205)
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: UT  8237582-1205)
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: IA  MD-42118)
207RC0001X Internal Medicine Clinical Cardiac Electrophysiology
(Licence: IA  42118)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-08-14
Last Update Date2023-06-21
Business Address
MR. LEENHAPONG NAVARAVONG M.D.
395 W COUGAR BLVD
PROVO, UT 84604-3311
Phone number: 435-357-4600
Mailing Address
MR. LEENHAPONG NAVARAVONG M.D.
395 W COUGAR BLVD
PROVO, UT 84604-3311
Phone number: 435-357-4600