Individual
MR. ROBERT ANDREW SERPICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MSPAC
Contact information
Practice address
1375 N UNIVERSITY AVE, PROVO, UT 84604-2658
(801) 377-4745
(801) 373-5762
Mailing address
924 LORRAINE AVE, SALT LAKE CITY, UT 84106-2045
(801) 891-0896
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7472700-1206
UT
Other
Enumeration date
11/05/2009
Last updated
11/18/2021
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