Individual
BENJAMIN DANIEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
437 W 300 S, SPANISH FORK, UT 84660-9241
(801) 427-2110
Mailing address
437 W 300 S, SPANISH FORK, UT 84660-9241
(801) 427-2110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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