Search › Utah › Student in an Organized Health Care Education/Training Program
Derrick Syvoravong
NPI 1376474999 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1800 Novell Pl
Provo, UT 84606 - Phone
- (801) 375-5125
- Clinicians at this address
- 109
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2026-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah