Aaron Provance, MD
Pediatric Sports Medicine Physician · Salt Lake City, UT
Aaron Provance, MD is a pediatric sports medicine physician with a practice address in Salt Lake City, Utah, and NPI 1710024005, issued on Jan 30, 2007. Check the license (Utah 12804185-1205, as entered in NPPES) on the Utah Medical Licensing Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Aaron Provance
- Credential
- MD
- Primary taxonomy
- Pediatric Sports Medicine Physician 2080S0010X
- License numbers
- 12804185-1205 UT
DR.0044594 CO
Self-reported in NPPES; status is on the state search - Practice location
- 590 S Wakara Way, Salt Lake City, UT 84108
- Phone
- (801) 587-7109
- Enumerated
- Jan 30, 2007
- Record last updated
- Jun 25, 2023
- Entity
- Type 1 · individual
1 nearest pediatric sports medicine physician record → All 2 in Utah → Look up another NPI →
Also registered at 590 S Wakara Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Aaron Provance in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12804185-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Pediatric Sports Medicine Physician providers in Utah
There are 2 pediatric sports medicine physician records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2 in Utah → Every provider in Salt Lake City → Pediatric Sports Medicine Physician nationwide →
The 1 pediatric sports medicine physician record with the nearest ZIP codes
- Craig Barton, M.D.Magna, UT 840441366805921
Common questions
What is Aaron Provance, MD's NPI number?
Aaron Provance, MD's National Provider Identifier (NPI) is 1710024005, issued on Jan 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Aaron Provance, MD located?
The NPPES record lists a practice address at 590 S Wakara Way, Salt Lake City, UT, 84108. Phone: (801) 587-7109. Providers update this record themselves, so call before visiting.
How can I verify Aaron Provance, MD's license?
NPPES lists Utah license number 12804185-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.