ELMER G SISNEROS

SOUTH JORDAN, UT
NPI1912963117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  314098-1206)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
-- ELMER G SISNEROS PA
10464 S REDWOOD RD
SOUTH JORDAN, UT 84095-8501
Phone number: 801-260-1919
Mailing Address
-- ELMER G SISNEROS PA
PO BOX 1000
DRAPER, UT 84020-1000
Phone number: 801-352-9500