Audrey Jantzen, MD PLLC
Audrey Jantzen, MD PLLC is a Medical Specialty Clinic/Center in Provo, Utah. Licensed in Utah. Registered with an NPI since 2009.
- Licensed in
- UT
- In the registry since
- 2009
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3685 N 100 E Ste AProvo, UT 84604-4594
Phone: (801) 229-1954
Fax: (801) 426-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 66542191205 (UT) |
|---|
Record details
| NPI number | 1538391339 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Audrey Jantzen — Manager · (801) 229-1054 |
| NPI enumerated | August 13, 2009 |
| Last updated in NPPES | August 13, 2009 |
| Mailing address | 3685 N 100 E, Suite A, Provo, UT 84604-4594 |
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