John Dudley Duross PA-C

NPI 1083917355 - Physician Assistant - 363AS0400X

NPI Details
NPI 1083917355
Gender Male
Enumeration Date 12/08/2010
Last Updated 12/08/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
5121 SOUTH COTTONWOOD STREET
MURRAY UT, 84157, US
Phone (801) 507-6698
Fax
Business Location
520 CRESTVIEW DR
PARK CITY UT, 84098-5127, US
Phone (801) 910-6844
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Utah
License Number 7821385-1206
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According to our database, Mr. John Dudley Duross PA-C NPI is 1083917355, taxonomy code is 363AS0400X and license number is 7821385-1206, license state is located at Utah. John Dudley Duross PA-C physically located at 5121 South Cottonwood Street, Murray UT, 84157. NPI Number John Dudley Duross PA-C has the Individual type.

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1083917355 NPI number is provided on an as is basis without warranty of any kind. 1083917355 is maintained by the National Plan & Provider Enumeration System. The contents of John Dudley Duross PA-C are for informational purposes only.