Individual
PAUL WEIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
96 S 100 W, WILLARD, UT 84340-9764
(435) 740-9314
Mailing address
96 S 100 W, WILLARD, UT 84340-9764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14184833-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2023
Last updated
11/01/2024
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