MR. Ian Daniel Primavera, PA-C

NPI #1831441237 in Hurricane, Utah

Provider Information

NPI Number
1831441237
Entity Type
Individual
Name
MR. Ian Daniel Primavera, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 9, 2012
Last Updated
Jul 25, 2022

Practice Location

Address
75 N 2260 W
State
Utah
ZIP Code
84737-2034
Phone
(760) 757-0224

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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