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1477031870
TIMOTHY ROSS CARROLL
PROVO, UT
NPI
1477031870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10873768-1206)
Enumeration Date
2018-07-30
Last Update Date
2023-11-27
Business Address
TIMOTHY ROSS CARROLL PA-C
1055 N 500 W STE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
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Mailing Address
TIMOTHY ROSS CARROLL PA-C
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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