Graduated: 2017
NPI: 1003334525
Practice Locations (2)
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC
589 S STATE ST
PROVO, UT 846065056
8014292000
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC
750 N 200, SUITE 201
PROVO, UT 846011677
8014292000
Source: CMS National Downloadable File, September 2026.