Grant Terry Evans PA

NPI 1093823155 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093823155
Gender Male
Enumeration Date 08/29/2006
Last Updated 06/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2075 N 1200 W
LAYTON UT, 84041-1616, US
Phone (801) 779-6200
Fax
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 779-6200
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Utah
License Number 1007681206
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According to our database, Grant Terry Evans PA NPI is 1093823155, taxonomy code is 363AM0700X and license number is 1007681206, license state is located at Utah. Grant Terry Evans PA physically located at 2075 N 1200 W, Layton UT, 84041-1616. NPI Number Grant Terry Evans PA has the Individual type.

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1093823155 NPI number is provided on an as is basis without warranty of any kind. 1093823155 is maintained by the National Plan & Provider Enumeration System. The contents of Grant Terry Evans PA are for informational purposes only.