Individual
MICHAEL A. POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
270563-1206
UT
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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