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Provas Of Ogden, Llc
Vascular & Interventional Radiology Physician in South Ogden, Utah
NPI 1073170031

Provas Of Ogden, Llc is a Vascular & Interventional Radiology Physician based in South Ogden, UT and is specialized in Vascular & Interventional Radiology. Provas Of Ogden, Llc practices in South Ogden, UT. The NPI Number for Provas Of Ogden, Llc is 1073170031 and holds a License No. (Utah).

The current practice location address for Provas Of Ogden, Llc is 5974 Fashion Point Dr Ste 110, South Ogden, UT and can be reached out via phone at 801-386-4896.

Location: 5974 Fashion Point Dr Ste 110, South Ogden, UT, 84403-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073170031
Provider Name
Provas Of Ogden, Llc
Credential
Provider Entity Type
Organization
Address
5974 Fashion Point Dr Ste 110, South Ogden, UT, 84403-4712
Phone Number
801-386-4896
Fax Number
Provider Enumeration Date
05/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5974 Fashion Point Dr Ste 110
City
South Ogden
State
Utah
Zip
84403-4712
Phone Number
801-386-4896
Fax Number
person
Provider Business Mailing Address Details
Address
5974 Fashion Point Dr Ste 110
City
South Ogden
State
Utah
Zip
84403-4712
Phone Number
801-386-4896
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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