Individual
ANDREW BENJAMIN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
(801) 763-3887
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 812-4673
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8793861-1206
UT
363AM0700X
Medical Physician Assistant
8793861-1206
UT
Other
Enumeration date
01/28/2014
Last updated
01/30/2024
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