Benjamin H Ross MS, ATC

NPI 1043412562 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1043412562
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 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
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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.