Individual
DAWN THI THUY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 E 50 S STE 221, AMERICAN FORK, UT 84003-2845
(801) 772-0775
(801) 772-1941
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50085381206
UT
363AM0700X
Medical Physician Assistant
5008538-1206
UT
Other
Enumeration date
10/16/2006
Last updated
05/07/2024
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