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ACER LI
Physician Assistant
NPI: 1205571080IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
14179163-1206(UT)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Class of 2024
Contact & Hours
- Address
- 2884 E BELTON CIR
SANDY, UT 84093 - Phone
- (801) 696-8746
Quick Facts
- NPI
- 1205571080
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 2
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