Provider Demographics
NPI:1780600247
Name:CURZON, SEAN R (DO)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:R
Last Name:CURZON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:CREDENTIALING DEPARTMENT
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:700 W 800 N STE 400
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-6305
Practice Address - Country:US
Practice Address - Phone:801-221-8811
Practice Address - Fax:801-221-8805
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5193323-1204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870281028CUZOtherEMIA
UTQM0000064346OtherALTIUS
UT110246929OtherPALMETTO
UT787112OtherDMBA
UT107016314101OtherIHC
UT71706OtherPEHP
UT04-00947OtherUNITED HEALTHCARE
UT107016314101OtherIHC
UT787112OtherDMBA
UTQM0000064346OtherALTIUS
UT107016314101OtherIHC