Individual
SAGE NYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12605348-1206
UT
Other
Enumeration date
07/16/2021
Last updated
11/21/2025
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