Individual
NICK BLAINE LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5097 S 900 E STE 100, MURRAY, UT 84117-5725
(801) 851-5554
(833) 464-2575
Mailing address
6654 S STONE MILL DR, SALT LAKE CITY, UT 84121-3494
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
11057552-1206
UT
363A00000X
Physician Assistant
Primary
11057552-1206
UT
Other
Enumeration date
02/20/2020
Last updated
03/27/2024
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