OrganizationActive
Sporterdo LLC
NPI 1023344272 · Family Medicine Physician · Provo, UT
Sporterdo LLC is a Family Medicine Physician organization in Provo, UT (NPI 1023344272).
Provider details
- NPI number
- 1023344272
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stuart Porter, Physician(801) 375-7100
- License
- 288579 1204 (UT)
Practice location
3650 N University Ave
Suite 200
Provo, UT 84604-6656
Phone: (801) 375-7100
Fax: (801) 375-7102
Street-level locationGet directions
Mailing address
3650 N University Ave
Provo, UT 84604-6656
Registry dates
- Enumerated
- 2009-10-22
- Last updated
- 2009-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.