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Ryan Busch Valid NPI

Individual provider · Physician Assistant · Pleasant Grove, UT

NPI
1831590504
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
12315115-1206 (UT)
Sex
Male
Sole proprietor
No
Enumerated
2014-09-11
Last updated
2024-05-20
Practice location
35 S 1200 W
Pleasant Grove, UT 84062-2984
(916) 208-6295

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