Vivint Medical Clinic
Vivint Medical Clinic is a Family Medicine Physician in Provo, Utah. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4907 N 300 WProvo, UT 84604-8460
Phone: (801) 705-8040
Fax: (801) 765-5740
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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 | 1265942163 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Futura Medical Clinic |
| Authorized official | Darce Latsis — Operations Manager · (801) 705-8040 |
| Other names | Vivint Medical Clinic |
| NPI enumerated | October 5, 2017 |
| Last updated in NPPES | January 30, 2020 |
| Certification date | January 30, 2020 |
| Mailing address | 560 S 300 E Ste 275, Salt Lake City, UT 84111-3586 |
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