Individual
MR. RYAN HAL LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
(801) 763-3887
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6344620-1206
UT
Other
Enumeration date
12/28/2006
Last updated
11/27/2023
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