Healthcare Provider Details

I. General information

NPI: 1477688307
Provider Name (Legal Business Name): IAN JAMES OROZCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 N 300 W STE 303
PROVO UT
84604-3373
US

IV. Provider business mailing address

PO BOX 143
SPRINGVILLE UT
84663-0143
US

V. Phone/Fax

Practice location:
  • Phone: 801-356-1300
  • Fax: 801-356-1304
Mailing address:
  • Phone: 801-356-1300
  • Fax: 801-356-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.147459
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: