Cassidy Elaine Gonzalez

NPI #1689348229 in Provo, Utah

Provider Information

NPI Number: 1689348229
Entity Type: Individual
Name: Cassidy Elaine Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 6, 2021
Last Updated: Sep 16, 2021

Practice Location

Address: 116 N 700 E
City: Provo
State: Utah
ZIP Code: 84606-3321
Phone: (435) 770-2898

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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