| NPI Details | |
|---|---|
| NPI | 1043412562 |
| Gender | Male |
| Enumeration Date | 06/05/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 3570 N. TIMPVIEW DR. PROVO UT, 84604, US |
|
| Phone | (801) 221-9720 |
| Fax | |
| Business Location | |
|---|---|
| 439 N 1040 E OREM UT, 84097-8281, US |
|
| Phone | (801) 225-1798 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2255A2300X |
| License State | Utah |
| License Number | 5471928-4810 |
| Remove 1043412562 NPI Number | |
According to our database, Benjamin H Ross MS, ATC NPI is 1043412562, taxonomy code is 2255A2300X and license number is 5471928-4810, license state is located at Utah. Benjamin H Ross MS, ATC physically located at 3570 N. Timpview Dr., Provo UT, 84604. NPI Number Benjamin H Ross MS, ATC has the Individual type.
Sponsored links
1043412562 NPI number is provided on an as is basis without warranty of any kind. 1043412562 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin H Ross MS, ATC are for informational purposes only.
Sponsored links