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Stephen Cruze, PAC
Surgical Physician Assistant in Provo, Utah
NPI 1730318445

Stephen Cruze is a Surgical Physician Assistant based in Provo, UT and is specialized in Surgical. Stephen Cruze practices in Provo, UT and has the professional credentials of PAC. The NPI Number for Stephen Cruze is 1730318445 and holds a License No. 7398126-1206 (Utah).

The current practice location address for Stephen Cruze is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-373-7350.

Location: 1055 N 500 W, Provo, UT, 84604-3305
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Provider Profile Details
NPI Number
1730318445
Provider Name
Stephen Cruze
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-373-7350
Fax Number
Provider Enumeration Date
07/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7398126-1206 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-373-7350
Fax Number
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-373-7350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
7398126-1206 (Utah)
Definition
Definition to come...
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