Unknown Individual – Physician Assistant, NPI 1184961302
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1126 E 12300 S
DRAPER, UT 840209095
Phone: (801) 545-0600
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Emergency Medicine | GA | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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