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Contact Information

HAWKINS B MECHAM, DO
2162 S 180 E # 1000
PROVO, UT84606-7370
 Phone: 385-380-3425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for HAWKINS B MECHAM · (Male)

NPI Number 1285080796
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/13/2016
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # DO187716
  • UT License # 11099671-1204
  • UT License # 110996711204
  • UT Other 110996718904 STATE CONTROLLED SUBSTANCE LICENSE
  • UT Other 110996711204 STATE PROFESSIONAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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