Aaron Provance in Salt Lake City - Sports Medicine
Aaron Provance - NPI 1710024005
Aaron Provance is a Sports Medicine in Salt Lake City, Utah. Aaron Provance practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Aaron Provance is 1710024005. The last update date is 2023-06-25.
Aaron Provance's current location address is 590 S Wakara Way, Salt Lake City, Utah. You can contact this provider via phone number 8015877109. The mailing address for Aaron Provance is 590 S Wakara Way, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aaron Provance |
|---|---|
| Address | 590 S Wakara Way, Salt Lake City, Utah |
| Phone Number | 8015877109 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710024005 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2023-06-25 |
Provider Mailing Address Detail
| Address | 590 S Wakara Way |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84108 |
| Phone Number | 8015877109 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | DR.0044594 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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What is the unique identification code assigned to Aaron Provance by the Centers for Medicare & Medicaid Services?
The Aaron Provance has been issued the NPI (National Provider Identifier) 1710024005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Aaron Provance is physically located?
The Aaron Provance is physically situated at the following address: 590 S Wakara Way, Salt Lake City, UT, 84108.
What is Aaron Provance's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aaron Provance is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 2080S0010X.
On what date did the Aaron Provance receive the assignment of its 1710024005 from the Centers for Medicare & Medicaid Services?
The Aaron Provance was issued its 1710024005 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information related to Aaron Provance most recently updated or refreshed?
The details pertaining to the Aaron Provance, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-25.