Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AARON PROVANCE, MD
ActiveAARON PROVANCE, MD is a Sports Medicine (Pediatrics) healthcare provider located in SALT LAKE CITY, Utah. NPI 1710024005 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1710024005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.575582163602 yrs)
- Last Updated
- Jun 25, 2023
- Licenses
-
DR.0044594 (CO)12804185-1205 (UT)
Practice Information
- Address
-
590 S WAKARA WAYSALT LAKE CITY, UT, 841087106Browse UT providers · Browse ZIP 84108
- Phone
- 8015877109
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.