Individual
PATRICK MAITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2292
Mailing address
481 S 400 E, HEBER CITY, UT 84032-2317
(435) 657-9488
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
4731144-1206
UT
363AM0700X
Medical Physician Assistant
Primary
4731144-1206
UT
Other
Enumeration date
05/30/2006
Last updated
01/11/2024
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