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Physician Assistant
NPI: 1265817688IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 9450 S 1300 E, 120
SANDY, UT 84094 - Phone
- (801) 501-6150
Quick Facts
- NPI
- 1265817688
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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