Individual
ADAM C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-4929
(801) 357-8301
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5624132-1206
UT
Other
Enumeration date
06/08/2006
Last updated
08/23/2022
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