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Individual

BENJAMIN DAVID CARRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112-5550
(801) 587-7000
Mailing address
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112-5550
(801) 587-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12206091-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
12206091-1206
UT

Other

Enumeration date
03/15/2021
Last updated
11/11/2021
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