TRAVIS LEE DIMOND

PROVO, UT
NPI1942437918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7371008-1206)
Enumeration Date2009-06-17
Last Update Date2024-10-25
Business Address
TRAVIS LEE DIMOND PA-C
395 W COUGAR BLVD STE 803
PROVO, UT 84604-3311
Phone number: 801-235-7246
Mailing Address
TRAVIS LEE DIMOND PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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