Individual
GABRIEL JAMES SERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
212 E 12300 S, DRAPER, UT 84020-8184
(801) 571-4666
Mailing address
306 E 160 N, AMERICAN FORK, UT 84003-1779
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
379294-1206
UT
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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