Healthcare Provider Details
I. General information
NPI: 1730876517
Provider Name (Legal Business Name): PRECISION ASSIST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
905 N 1000 W
TREMONTON UT
84337-9356
US
IV. Provider business mailing address
13725 N 3100 W
COLLINSTON UT
84306-9725
US
V. Phone/Fax
- Phone: 435-207-4500
- Fax:
- Phone: 801-550-8893
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
BITNER
Title or Position: CEO
Credential: PA-C
Phone: 801-550-8893