Provance, Aaron

Provance, Aaron is an individual health care provider with primary practice located at 590 S Wakara Way , Salt Lake City UT 84108-7106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Provance, Aaron can be contacted via phone (801) 587-7109.

Contact Information

Primary practice address
590 S Wakara Way Salt Lake City UT 84108-7106
Phone: (801) 587-7109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X DR.0044594 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 12804185-1205 Utah

Profile Details

NPI number 1710024005
LBN Legal business name Provance, Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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