Amanda C Van Gils, PA-C

NPI #1215186077 in Salt Lake City, Utah

Provider Information

NPI Number: 1215186077
Entity Type: Individual
Name: Amanda C Van Gils, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 1365 W 1000 N
City: Salt Lake City
State: Utah
ZIP Code: 84116-1654
Phone: (801) 328-5750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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