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MR. AARON GREGORY FAUSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
555 W STATE ROAD 164, SALEM, UT 84653-5732
(801) 465-4896
(801) 465-3267
Mailing address
336 W 100 S, SPANISH FORK, UT 84660-5881
(801) 798-7301
(801) 798-8513

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7104965-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125398100
WY
01
315589
BCBS WY
WY
Enumeration date
11/06/2007
Last updated
08/31/2023
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