Nathan Sanborn, PA

NPI #1235861022 in Salem, Utah

Provider Information

NPI Number: 1235861022
Entity Type: Individual
Name: Nathan Sanborn, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 29, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 555 W SR 164
City: Salem
State: Utah
ZIP Code: 84653-8465
Phone: (801) 465-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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