Individual
JON BOWEN WOOZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1134 N 500 W, #100, PROVO, UT 84604-3383
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3448341206
UT
Other
Enumeration date
07/31/2006
Last updated
06/16/2010
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