Sporterdo LLC
Sporterdo LLC is a Family Medicine Physician 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?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3650 N University Ave Ste 200Provo, UT 84604-6656
Phone: (801) 375-7100
Fax: (801) 375-7102
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 288579 1204 (UT) |
|---|
Record details
| NPI number | 1023344272 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stuart Porter — Physician · (801) 375-7100 |
| Other names | Ingegrative Medical Assicates |
| NPI enumerated | October 22, 2009 |
| Last updated in NPPES | October 22, 2009 |
| Mailing address | 3650 N University Ave, Suite 200, Provo, UT 84604-6656 |
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