RYAN HAL LATIMER

AMERICAN FORK, UT
NPI1881750578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  6344620-1206)
Enumeration Date2006-12-28
Last Update Date2023-11-27
Business Address
Mr. RYAN HAL LATIMER PA-C
1184 E 80 N
AMERICAN FORK, UT 84003-2906
Phone number: 801-763-3885
Mailing Address
Mr. RYAN HAL LATIMER PA-C
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225