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ADAM LECROY PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1497916712
Individual Registrant: ADAM LECROY PA-C
Gender: M
Not Sole Proprietor
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: --
Tel: 801-878-5076 Fax: --
Contact information for business:
776 W 1875 S LEHI, UT 84043-7425 US
Tel: 614-946-1061 Fax: --
Tel: 614-946-1061 Fax: --
Registration Information:
NPI: 1497916712
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
