THOMAS JAMES TERVORT

UTAH NEUROLOGICAL CLINIC, INC.

Dr THOMAS JAMES TERVORT is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.

Contact

UTAH NEUROLOGICAL CLINIC, INC.

1055 N 300 W
SUITE 400
PROVO
UT
846043359

Tel: 8013577404

THOMAS JAMES TERVORT Information

Npi 1801382593
Pac Id 8820322746
Professional Enrollment Id I20190627000134
Last Name TERVORT
First Name THOMAS
Middle Name JAMES
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UTAH NEUROLOGICAL CLINIC, INC.
Group Practice Pac Id 3375575582
Number Of Group Practice Members 9
Line 1 Street Address 1055 N 300 W
Line 2 Street Address SUITE 400
Marker Of Address Line 2 Suppression
City PROVO
State UT
Zip Code 846043359
Phone Number 8013577404
Hospital Affiliation Ccn 1 460001
Hospital Affiliation Lbn 1 UTAH VALLEY HOSPITAL
Hospital Affiliation Ccn 2 460023
Hospital Affiliation Lbn 2 AMERICAN FORK HOSPITAL
Hospital Affiliation Ccn 3 460011
Hospital Affiliation Lbn 3 CASTLEVIEW HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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