Brigham Young University
Brigham Young University is a Family Medicine Physician in Provo, Utah. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
173 Richards Bldg Dance DeptProvo, UT 84602-2000
Phone: (972) 367-4845
Fax: (972) 367-3452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1790175628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Byu Dance |
| NPI enumerated | January 30, 2015 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3995 |
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