Individual
CELIA TRIFILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1055 N 500 W # 207, PROVO, UT 84604-3305
(801) 375-4263
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11484934-1206
UT
363A00000X
Physician Assistant
Primary
11484934-1206
UT
Other
Enumeration date
11/22/2019
Last updated
07/20/2021
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