Christopher Anthony Vis PA-C

NPI 1568763159 - Physician Assistant - 363A00000X

NPI Details
NPI 1568763159
Gender Male
Enumeration Date 11/12/2010
Last Updated 07/19/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
17800 SOUTH CAMP WILLIAMS ROAD
1ST BATTALION 19TH SPECIAL FORCES GROUP (AIRBORNE)
RIVERTON UT, 84065, US
Phone (801) 878-5640
Fax
Business Location
238 GOLDEN WILLOW CIR
SANDY UT, 84070-4217, US
Phone (801) 953-4670
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 7775959-1206
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According to our database, Christopher Anthony Vis PA-C NPI is 1568763159, taxonomy code is 363A00000X and license number is 7775959-1206, license state is located at Utah. Christopher Anthony Vis PA-C physically located at 17800 South Camp Williams Road, Riverton UT, 84065. NPI Number Christopher Anthony Vis PA-C has the Individual type.

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1568763159 NPI number is provided on an as is basis without warranty of any kind. 1568763159 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Anthony Vis PA-C are for informational purposes only.