OrganizationActive
Provas of Provo
NPI 1679180509 · Vascular & Interventional Radiology Physician · Provo, UT
Provider details
- NPI number
- 1679180509
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hewett, President(801) 689-3246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
320 River Park Dr Ste 215
Provo, UT 84604-6065
Phone: (801) 689-3246
Fax: (801) 689-3277
Approximate (ZIP-level) locationGet directions
Mailing address
955 Chambers St Ste 105
South Ogden, UT 84403-5085
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.