| Integrative Medical Associates | |
|
3650 N University Ave Suite 200 Provo UT 84604-6656 | |
| (801) 375-7100 | |
| (801) 375-7102 |
| Full Name | Integrative Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 3650 N University Ave, Provo, Utah |
| Authorized Official Name and Position | Vaughn T Johnson (OWNER) |
| Authorized Official Contact | 8013757100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medical Associates 3650 N University Ave Suite 200 Provo UT 84604-6656 Ph: (801) 375-7100 | Integrative Medical Associates 3650 N University Ave Suite 200 Provo UT 84604-6656 Ph: (801) 375-7100 |
| NPI Number | 1144453739 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144453739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1659453694 (Utah) | Primary |
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