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Search › Utah › 2080H0002X

Brooke Provost, M.D

NPI 1801073812 · on the registry since 2008

Practice

Address
100 N Mario Capecchi Dr Ste 470
Salt Lake City, UT 84113
Phone
(801) 662-3770
Organisation at this address
Tellica Imaging, Llc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
2080H0002X
2080H0002X
Also registered as
208000000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-27

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