NORTHEASTERN UTAH MEDICAL GROUP
Physician Assistant
Active
Organization
NPI: 1316316482
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 6411766-1206 (UT) |
Frequently Asked Questions
NPI 1316316482 is the National Provider Identifier for NORTHEASTERN UTAH MEDICAL GROUP, a Physician Assistant provider located in Roosevelt, UT. This NPI was enumerated on September 18, 2015.
Quick Facts
- NPI
- 1316316482
- Type
- Organization
- Enumerated
- Sep 18, 2015
- Last Updated
- Sep 18, 2015
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