SearchUtah225700000X

Ennis Mcintier

NPI 1447646633 · on the registry since 2015 · sole proprietor

Practice

Address
247 W 2230 N
Suite 201
Provo, UT 84604
Phone
(903) 949-4178
Organisation at this address
Adc Provo Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-14

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