Individual
SAM RAY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 541-2764
Mailing address
1034 N 500 W, PROVO, UT 84604-3337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8437544-1205
UT
Other
Enumeration date
05/18/2011
Last updated
05/20/2019
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