CRAIG A ENSIGN

PROVO, UT
NPI1760412605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  293156-8906)
Enumeration Date2006-07-04
Last Update Date2007-07-08
Business Address
Mr. CRAIG A ENSIGN MS-PAC
1055 N 300 W STE 316
PROVO, UT 84604-3373
Phone number: 801-357-7530
Mailing Address
Mr. CRAIG A ENSIGN MS-PAC
1055 N 300 W STE 316
PROVO, UT 84604-3373
Phone number: 801-357-7530
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