Individual
RICHARD DWAIN PERSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C MPAS
Contact information
Practice address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 867-1514
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
(435) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8043054-1206
UT
Other
Enumeration date
07/15/2011
Last updated
02/06/2024
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