William R Graden in Provo - General Practice
William R Graden - NPI 1174707046
William R Graden is a General Practice in Provo, Utah. William R Graden practices all healthcare services and medical treatments related to General Practice. The NPI Number for William R Graden is 1174707046. The last update date is 2008-01-28.
William R Graden's current location address is 1750 N Wymount Terrace Dr, Provo, Utah. You can contact this provider via phone number 8014222771 and fax number 8014220761. The mailing address for William R Graden is 1750 N Wymount Terrace Dr, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William R Graden |
|---|---|
| Address | 1750 N Wymount Terrace Dr, Provo, Utah |
| Phone Number | 8014222771 |
| Fax Number | 8014220761 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174707046 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 1750 N Wymount Terrace Dr |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846024405 |
| Phone Number | 8014222771 |
| Fax Number | 8014220761 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 4806596-1205 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the William R Graden's unique identification number?
The William R Graden has been assigned the NPI (National Provider Identifier) Number 1174707046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the William R Graden located?
The William R Graden is located at 1750 N Wymount Terrace Dr, Provo, UT 846024405.
What is William R Graden's area of expertise and its corresponding taxonomy classification?
The William R Graden's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the William R Graden receive the assignment of its 1174707046 from the Centers for Medicare & Medicaid Services?
The William R Graden was issued its 1174707046 by the Centers for Medicare & Medicaid Services on 2007-12-27.
As of what date were the William R Graden's details last updated?
The information pertaining to the William R Graden, including its address, specialty, and other details, was most recently updated on 2008-01-28.
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