Benjamin T Dedrickson, PA-C

NPI #1710496047 in Layton, Utah

Provider Information

NPI Number: 1710496047
Entity Type: Individual
Name: Benjamin T Dedrickson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1580 W ANTELOPE DR STE 110
City: Layton
State: Utah
ZIP Code: 84041-1153
Phone: (801) 807-7699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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