Integrative Medical Associates

NPI 1144453739 - Family Medicine - 207Q00000X

NPI Details
NPI 1144453739
Enumeration Date 08/28/2009
Last Updated 08/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name VAUGHN T VAUGHN
Position OWNER
Phone (801) 375-7100
Fax (801) 375-7102
Practice Location
3650 N UNIVERSITY AVE
SUITE 200
PROVO UT, 84604-6656, US
Phone (801) 375-7100
Fax (801) 375-7102
Business Location
3650 N UNIVERSITY AVE
SUITE 200
PROVO UT, 84604-6656, US
Phone (801) 375-7100
Fax (801) 375-7102
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 1659453694
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According to our database, Integrative Medical Associates NPI is 1144453739, taxonomy code is 207Q00000X and license number is 1659453694, license state is located at Utah. Integrative Medical Associates physically located at 3650 N University Ave, Provo UT, 84604-6656. NPI Number 1033115704 has the healthcare provider type.

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1144453739 NPI number is provided on an as is basis without warranty of any kind. 1144453739 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical Associates are for informational purposes only.