Individual
JOSHUA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1175 E 50 S STE 211, AMERICAN FORK, UT 84003-2845
(801) 418-0870
(801) 418-0871
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
363A00000X
Physician Assistant
Primary
10474683-1206
UT
363AS0400X
Surgical Physician Assistant
10474683-1206
UT
Other
Enumeration date
09/13/2017
Last updated
11/27/2023
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