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Mr. Craig A Ensign, MS-PAC
Medical Physician Assistant in Provo, Utah
NPI 1760412605

Craig A Ensign is a Medical Physician Assistant based in Provo, UT and is specialized in Medical. Craig A Ensign practices in Provo, UT and has the professional credentials of MS-PAC. The NPI Number for Craig A Ensign is 1760412605 and holds a License No. 293156-8906 (Utah).

The current practice location address for Craig A Ensign is 1055 N 300 W Ste 316, Provo, UT and can be reached out via phone at 801-357-7530 and via fax at 801-357-7566. You can also correspond with Craig A Ensign through the mailing address at 1055 N 300 W STE 316, PROVO, UT - 84604-3373 (mailing address contact number: 801-357-7530).

Location: 1055 N 300 W Ste 316, Provo, UT, 84604-3373
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Provider Profile Details
NPI Number
1760412605
Provider Name
Craig A Ensign
Credential
MS-PAC
Provider Entity Type
Individual
Gender
Male
Address
1055 N 300 W Ste 316, Provo, UT, 84604-3373
Phone Number
801-357-7530
Fax Number
801-357-7566
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96-293156-1206 01 UT PHYS ASSISTANT LIC #
institution
Provider Business Practice Location Address Details
Address
1055 N 300 W Ste 316
City
State
Zip
84604-3373
Phone Number
801-357-7530
Fax Number
801-357-7566
person
Provider Business Mailing Address Details
Address
1055 N 300 W Ste 316
City
State
Zip
84604-3373
Phone Number
801-357-7530
Fax Number
801-357-7566
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
293156-8906 (Utah)
Definition
Definition to come...
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