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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY JANTZEN, M.D. PLLC

Active Organization

AUDREY JANTZEN, M.D. PLLC is a Medical Specialty Clinic organization located in PROVO, Utah. NPI 1538391339 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PROVO, UT

Registration Details

NPI Number
1538391339
Provider Type
Organization
NPI Issued
Aug 13, 2009 (17.036701398671 yrs)
Last Updated
Aug 13, 2009
License
66542191205 (UT)

Practice Information

Address
3685 N 100 E
SUITE A
PROVO, UT, 846044594
Browse UT providers · Browse ZIP 84604
Phone
8012291954
Fax
8014266338
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in PROVO, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.