Individual
MR. ARIC LEON KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 570-2000
Mailing address
3658 S 5725 W, WEST VALLEY CITY, UT 84128-2633
(801) 831-4012
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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