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Individual

CHRISTOPHER KOFFEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
30 N 1900 E STE 3C344, SALT LAKE CITY, UT 84132-0002
(801) 585-1425
Mailing address
1737 S 300 E, SALT LAKE CITY, UT 84115-1761
(513) 484-5259

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12322293-1206
UT

Other

Enumeration date
08/18/2021
Last updated
11/03/2021
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