CENTRAL UTAH CLINIC, P.C.

PROVO, UT
NPI1437341427
Doing Business AsREVERE HEALTH
Entity TypeOrganization
Authorized ContactJED HARSTON
Director Of Managed Care
801-812-5012
Organization Subpart ?No
Primary Taxonomy2471R0002X Radiologic Technologist, Radiation Therapy
Enumeration Date2007-08-14
Last Update Date2018-03-07
Business Address
CENTRAL UTAH CLINIC, P.C.
1055 N 500 W SUITE 102
PROVO, UT 84604-3305
Phone number: 801-374-2367
Mailing Address
CENTRAL UTAH CLINIC, P.C.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225