Healthcare Provider Details

I. General information

NPI: 1225482201
Provider Name (Legal Business Name): BENJAMIN CLARK SAXEY P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 N CHURCH ST STE 101
LAYTON UT
84040-6504
US

IV. Provider business mailing address

672 W 400 S STE 201
SPRINGVILLE UT
84663-3170
US

V. Phone/Fax

Practice location:
  • Phone: 801-369-8989
  • Fax: 801-704-9741
Mailing address:
  • Phone: 801-369-8989
  • Fax: 801-704-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number11433468-8906
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11433468-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: