person
Mr. John Walker Lelis, PA-C
Medical Physician Assistant in Murray, Utah
NPI 1275812208

John Walker Lelis is a Medical Physician Assistant based in Murray, UT and is specialized in Medical. John Walker Lelis practices in Murray, UT and has the professional credentials of PA-C. The NPI Number for John Walker Lelis is 1275812208 and holds a License No. 8516577-1206 (Utah).

The current practice location address for John Walker Lelis is 5121 S Cottonwood St, Murray, UT and can be reached out via phone at 801-507-4017 and via fax at 801-507-4809. You can also correspond with John Walker Lelis through the mailing address at 5121 S COTTONWOOD ST, MURRAY, UT - 84107-5701 (mailing address contact number: 801-507-4000).

Location: 5121 S Cottonwood St, Murray, UT, 84107-5701
person
Provider Profile Details
NPI Number
1275812208
Provider Name
John Walker Lelis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5121 S Cottonwood St, Murray, UT, 84107-5701
Phone Number
801-507-4017
Fax Number
801-507-4809
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275812208 05 UT
institution
Provider Business Practice Location Address Details
Address
5121 S Cottonwood St
City
State
Zip
84107-5701
Phone Number
801-507-4017
Fax Number
801-507-4809
person
Provider Business Mailing Address Details
Address
5121 S Cottonwood St
City
State
Zip
84107-5701
Phone Number
801-507-4017
Fax Number
801-507-4809
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
8516577-1206 (Utah)
Definition
Definition to come...
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