Individual
BENJAMIN WILLIAM PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 S 1000 W, PAYSON, UT 84651-2617
(801) 602-6117
Mailing address
524 S 1000 W, PAYSON, UT 84651-2617
(801) 602-6117
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
5297981-5401
UT
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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