Individual
TRAVIS MARK REMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
5169 COTTONWOOD ST, SUITE# 410, MURRAY, UT 84107-6767
(801) 507-1650
(801) 507-1625
Mailing address
5169 COTTONWOOD ST, SUITE# 410, MURRAY, UT 84107-6767
(801) 507-1650
(801) 507-1625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4859842-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
4859842-1206
UT
Other
Enumeration date
09/19/2007
Last updated
04/13/2009
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