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1366431918
GREG E HALLIDAY
PROVO, UT
NPI
1366431918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 3086482-1206)
Enumeration Date
2005-10-17
Last Update Date
2018-11-01
Business Address
GREG E HALLIDAY PA-C
1055 N 500 W STE 101
PROVO, UT 84604-3305
Phone number: 801-373-4366
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Mailing Address
GREG E HALLIDAY PA-C
1055 NORTH 500 WEST ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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