Dr. Lance Dustin Edmonds, MD
Dr. Lance Dustin Edmonds, MD is a Diagnostic Radiology in Provo, Utah. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2004, 22 years ago. Practices with Revere Health PC, a 410-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Utah.
- Years since qualifying
- 22
- Trained at
- Uniformed Services Uhs Fe Hebert School of Med
- Licensed in
- CA, UT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1055 N 500 W Ste 112Provo, UT 84604-3305
Phone: (801) 812-4624
Fax: (801) 812-4699
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 1175 E 50 S Ste 141, American Fork, UT 84003-2845 — (801) 492-5996
- 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 — (385) 345-3155
- 555 W State Road 164, Salem, UT 84653-5732 — (801) 812-4624
- 2825 E Mall Dr, St George, UT 84790-1954 — (435) 986-2238
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 380515-1205 (UT) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence A108694 (CA) |
Record details
| NPI number | 1124214374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 21, 2007 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 20, 2025 |
| Mailing address | 1055 N 500 W, Attn Credentialing, Provo, UT 84604 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED |
| Graduated | 2004 (22 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Provo
-
Dr. David R Cottam, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 224-3555
-
Tyler L Crawford, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Fred Jeston Dawson, MD
1055 N 500 W Ste 112, Provo, UT 84604-3305 · (801) 812-4624
-
Val D Dunn, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Conrad Curtis Gibby, MD
3152 N University Ave, Provo, UT 84604-4745 · (801) 229-2002
-
Wendell A Gibby, MD
3152 N University Ave Ste 100, Provo, UT 84604-4729 · (801) 229-2002
-
Kent M Gledhill, MD
1055 N 500 W Ste 112, Provo, UT 84604-3305 · (801) 812-4624
-
Adam Stanley Green, MD
1055 N 500 W #112 Bldg C, Provo, UT 84604-3305 · (801) 812-4624