Individual
ISAAC MICHEAL RALPHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
322 E GATEWAY DR, HEBER CITY, UT 84032-4610
(435) 654-1377
Mailing address
322 E GATEWAY DR, HEBER CITY, UT 84032-4610
(435) 654-1377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12943421-8906
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12943421-1206
STATE OF UTAH DEPARTMENT OF COMMERCE, DIVISION OF OCCUPATIONAL & PROFESSIONAL LI
UT
Enumeration date
04/14/2021
Last updated
06/02/2023
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