Riverwood Advanced Diagnostic Imaging in Provo - Specialist
Riverwood Advanced Diagnostic Imaging - NPI 1194818278
Riverwood Advanced Diagnostic Imaging is a Specialist in Provo, Utah. Riverwood Advanced Diagnostic Imaging practices all healthcare services and medical treatments related to Specialist. The NPI Number for Riverwood Advanced Diagnostic Imaging is 1194818278. The last update date is 2011-10-27.
Riverwood Advanced Diagnostic Imaging's current location address is 3152 N University Ave, Provo, Utah. You can contact this provider via phone number 8014374895 and fax number 8012291003. The mailing address for Riverwood Advanced Diagnostic Imaging is 3152 N University Ave, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverwood Advanced Diagnostic Imaging |
|---|---|
| Address | 3152 N University Ave, Provo, Utah |
| Phone Number | 8014374895 |
| Fax Number | 8012291003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gibby A Wendell |
| Credentials | MD |
| Telephone Number | 8014374895 |
NPI Number Detail
| NPI Number | 1194818278 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 3152 N University Ave |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846044729 |
| Phone Number | 8014374895 |
| Fax Number | 8012291003 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5414031-1704 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528906826089 | UT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Riverwood Advanced Diagnostic Imaging?
The Riverwood Advanced Diagnostic Imaging has been issued the NPI (National Provider Identifier) 1194818278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Riverwood Advanced Diagnostic Imaging is physically located?
The Riverwood Advanced Diagnostic Imaging is physically situated at the following address: 3152 N University Ave, Provo, UT, 846044729.
What is Riverwood Advanced Diagnostic Imaging's specialized field of practice, and what is the corresponding taxonomy classification code?
The Riverwood Advanced Diagnostic Imaging's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Riverwood Advanced Diagnostic Imaging receive its 1194818278?
The Riverwood Advanced Diagnostic Imaging was issued its 1194818278 on 2006-10-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Riverwood Advanced Diagnostic Imaging most recently updated or refreshed?
The details pertaining to the Riverwood Advanced Diagnostic Imaging, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-27.