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Individual

RYAN DENNIS WIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3336 PIONEER PKWY, SUITE 302, WEST VALLEY, UT 84120-2000
(617) 314-2172
Mailing address
3336 PIONEER PKWY, SUITE 302, WEST VALLEY, UT 84120-2000
(617) 314-2172

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7245399-1206
UT
363AS0400X
Surgical Physician Assistant
2636
MA

Other

Enumeration date
10/17/2008
Last updated
03/29/2009
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