MR. Carson Michael Close, PA-C

NPI #1073981437 in Ogden, Utah

Provider Information

NPI Number: 1073981437
Entity Type: Individual
Name: MR. Carson Michael Close, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 2, 2015
Last Updated: May 7, 2021

Practice Location

Address: 5740 CRESTWOOD DR
City: Ogden
State: Utah
ZIP Code: 84405-4869
Phone: (801) 475-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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