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GUSTAVO CARRILLO
Physician Assistant
NPI: 1114542255IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
12476377-1206(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 610 S 200 E STE B
SALT LAKE CITY, UT 84111 - Phone
- (602) 626-4835
Quick Facts
- NPI
- 1114542255
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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