Individual
BENJAMIN ZACHARIAH ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
476 E MINGO PARK DR, SANDY, UT 84070-2409
(801) 554-4784
Mailing address
476 E MINGO PARK DR, SANDY, UT 84070-2409
(801) 554-4784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8969770-4405
UT
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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