STEPHEN CRUZE

PROVO, UT
NPI1730318445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  7398126-1206)
Enumeration Date2009-07-02
Last Update Date2009-07-02
Business Address
-- STEPHEN CRUZE PAC
1055 N 500 W SUITE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
Mailing Address
-- STEPHEN CRUZE PAC
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-429-8000
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