Individual
GARRETT WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2710
(435) 713-2746
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12330864-1206
UT
Other
Enumeration date
01/16/2020
Last updated
09/01/2022
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