Travis Lee Dimond, PA-C

NPI #1942437918 in Provo, Utah

Provider Information

NPI Number: 1942437918
Entity Type: Individual
Name: Travis Lee Dimond, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 17, 2009
Last Updated: Oct 25, 2024

Practice Location

Address: 395 W COUGAR BLVD STE 803
City: Provo
State: Utah
ZIP Code: 84604-3311
Phone: (801) 235-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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