Individual
CHRISTOPHER VAN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3590 W 9000 S, SUITE 240, WEST JORDAN, UT 84088-8857
(801) 505-5370
Mailing address
3590 W 9000 S, SUITE 240, WEST JORDAN, UT 84088-8857
(801) 505-5370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9712155-1206
UT
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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