person
Samantha Bengtzen Derzon, MD
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1053060939

Samantha Bengtzen Derzon is a Student in an Organized Health Care Education/Training Program based in Provo, UT. Samantha Bengtzen Derzon practices in Provo, UT and has the professional credentials of MD. The NPI Number for Samantha Bengtzen Derzon is 1053060939 and holds a License No. (Utah).

The current practice location address for Samantha Bengtzen Derzon is 475 W 940 N, Provo, UT and can be reached out via phone at 801-357-7940.

Location: 475 W 940 N, Provo, UT, 84604-3301
person
Provider Profile Details
NPI Number
1053060939
Provider Name
Samantha Bengtzen Derzon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
475 W 940 N, Provo, UT, 84604-3301
Phone Number
801-357-7940
Fax Number
Provider Enumeration Date
03/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
475 W 940 N
City
State
Zip
84604-3301
Phone Number
801-357-7940
Fax Number
person
Provider Business Mailing Address Details
Address
475 W 940 N
City
State
Zip
84604-3301
Phone Number
801-357-7940
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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