NPI Details | |
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NPI | 1043412562 |
Gender | Male |
Enumeration Date | 06/05/2007 |
Last Updated | 07/08/2007 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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3570 N. TIMPVIEW DR. PROVO UT, 84604, US |
|
Phone | (801) 221-9720 |
Fax |
Business Location | |
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439 N 1040 E OREM UT, 84097-8281, US |
|
Phone | (801) 225-1798 |
Fax |
Toxanomy | |
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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.
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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.
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