person
Craig Aaron Packham, PA-C
Medical Physician Assistant in Tooele, Utah
NPI 1104920354

Craig Aaron Packham is a Medical Physician Assistant based in Tooele, UT and is specialized in Medical. Craig Aaron Packham practices in Tooele, UT and has the professional credentials of PA-C. The NPI Number for Craig Aaron Packham is 1104920354 and holds a License No. 51058218002 (Utah).

The current practice location address for Craig Aaron Packham is 2356 N 400 E, Tooele, UT and can be reached out via phone at 435-833-9180 and via fax at 435-833-9177.

Location: 2356 N 400 E, Tooele, UT, 84074
person
Provider Profile Details
NPI Number
1104920354
Provider Name
Craig Aaron Packham
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2356 N 400 E, Tooele, UT, 84074
Phone Number
435-833-9180
Fax Number
435-833-9177
Provider Enumeration Date
09/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D4703 05 UT
institution
Provider Business Practice Location Address Details
Address
2356 N 400 E
City
State
Zip
84074
Phone Number
435-833-9180
Fax Number
435-833-9177
person
Provider Business Mailing Address Details
Address
2356 N 400 E
City
State
Zip
84074
Phone Number
435-833-9180
Fax Number
435-833-9177
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
51058218002 (Utah)
Definition
Definition to come...
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