John A Whitehead, PA

NPI #1619935053 in Provo, Utah

Provider Information

NPI Number: 1619935053
Entity Type: Individual
Name: John A Whitehead, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 3, 2006
Last Updated: Sep 4, 2023

Practice Location

Address: 1055 N 500 W
Address 2: SUITE 101
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 373-4366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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