Individual
MR. PAUL VERNAL SCHLAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4403 HARRISON BLVD, SUITE 1815, OGDEN, UT 84403-3271
(801) 387-6520
(801) 387-6525
Mailing address
4403 HARRISON BLVD, SUITE 1815, OGDEN, UT 84403-3271
(801) 387-6520
(801) 387-6525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
369118-1206
UT
363AS0400X
Surgical Physician Assistant
369118-8906
UT
Other
Enumeration date
07/28/2006
Last updated
01/14/2011
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