ANDREW WADE PHIPPEN

HOLLADAY, UT
NPI1083069025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  284016-2401)
Enumeration Date2016-04-27
Last Update Date2021-05-03
Business Address
ANDREW WADE PHIPPEN
2960 E CASTO LN
HOLLADAY, UT 84117-7123
Phone number: 801-556-1866
Mailing Address
ANDREW WADE PHIPPEN
2960 E CASTO LN
HOLLADAY, UT 84117-7123
Phone number: 801-556-1866
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