Phillip M Lintzenich, PA

NPI #1790301380 in Ogden, Utah

Provider Information

NPI Number: 1790301380
Entity Type: Individual
Name: Phillip M Lintzenich, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 19, 2020
Last Updated: Apr 27, 2021

Practice Location

Address: 5475 S 500 E
City: Ogden
State: Utah
ZIP Code: 84405-6905
Phone: (801) 479-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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