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NPI Code Detail

MEDICARE: MR. RYAN PAUL WOJCIECHOWSKI PA-C

MEDICARE:  MR. RYAN PAUL WOJCIECHOWSKI  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2402172-1206UT

General Provider Information

NPI Number : 1295805364
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN PAUL WOJCIECHOWSKI PA-C
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 W LAYTON PKWY STE 1A
Second Line :
City : LAYTON
State : UT
Zip : 84041-3692
Country : US
Telephone Number : 801-543-6875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/10/2022

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Directions to “ MR. RYAN PAUL WOJCIECHOWSKI PA-C” Practice Location

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