OrganizationActive
Central Utah Clinic, P.C.
NPI 1437341427 · Radiation Therapy Radiologic Technologist · Provo, UT
Provider details
- NPI number
- 1437341427
- Entity type
- Organization
- Primary specialty
- Radiation Therapy Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Jed Harston, Director of Managed Care
Practice location
1055 N 500 W
Suite 102
Provo, UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-0600
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Registry dates
- Enumerated
- 2007-08-14
- Last updated
- 2018-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.