NPI | 1710608070 |
---|---|
Other Name | DUNCAN AVIATION FAMILY HEALTH CENTER-PROVO |
Entity Type | Organization |
Authorized Contact | RHIANNON CHANDLER Logistics 866-434-3255 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-09-06 |
Last Update Date | 2022-09-06 |