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ADAM LECROY PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1497916712

Individual Registrant:
 ADAM  LECROY PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17800 S CAMP WILLIAMS RD  BLUFFDALE, UT 84065-4905 US
Tel: 801-878-5076  Fax: --

Contact information for business:
776 W 1875 S  LEHI, UT 84043-7425 US
Tel: 614-946-1061  Fax: --

Registration Information:
NPI: 1497916712
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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