IndividualActive
Jonathan Holbrook, MD
NPI 1710307384 · Interventional Cardiology Physician · Provo, UT
Provider details
- NPI number
- 1710307384
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12192553-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (2)
- 200 Hawkins Dr Dept ofIowa City, IA 52242-1009Phone: (319) 356-7102
- 1055 N 500 WProvo, UT 84604-3305Phone: (801) 354-8225Fax: (801) 418-0941
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.