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Mr. Ian Daniel Primavera, PA-C
Medical Physician Assistant in Hurricane, Utah
NPI 1831441237

Ian Daniel Primavera is a Medical Physician Assistant based in Hurricane, UT and is specialized in Medical. Ian Daniel Primavera practices in Hurricane, UT and has the professional credentials of PA-C. The NPI Number for Ian Daniel Primavera is 1831441237 and holds a License No. 12870631-1206 (Utah).

The current practice location address for Ian Daniel Primavera is 75 N 2260 W, Hurricane, UT and can be reached out via phone at 760-757-0224.

Location: 75 N 2260 W, Hurricane, UT, 84737-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831441237
Provider Name
Ian Daniel Primavera
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
75 N 2260 W, Hurricane, UT, 84737-2034
Phone Number
760-757-0224
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 N 2260 W
City
Hurricane
State
Utah
Zip
84737-2034
Phone Number
760-757-0224
Fax Number
person
Provider Business Mailing Address Details
Address
75 N 2260 W
City
Hurricane
State
Utah
Zip
84737-2034
Phone Number
760-757-0224
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
12870631-1206 (Utah)
Definition
Definition to come...
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