CARSON MICHAEL CLOSE

OGDEN, UT
NPI1073981437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12262766-1206)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-05928)
Enumeration Date2015-09-02
Last Update Date2021-05-07
Business Address
Mr. CARSON MICHAEL CLOSE PA-C
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-475-3010
Mailing Address
Mr. CARSON MICHAEL CLOSE PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3010