Individual
BENJAMIN PHILIP DRALEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-3380
Mailing address
10428 S JORDAN GTWY UNIT 223, SOUTH JORDAN, UT 84095-5402
(360) 790-8201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10502233-1206
UT
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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