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NPI Code Detail

MEDICARE: DOMINICK RAMIREZ PA-C

MEDICARE: DOMINICK RAMIREZ 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 Assistant14188790-1206UT

General Provider Information

NPI Number : 1922829852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINICK RAMIREZ PA-C
Provider Business Mailing Address
First Line : 7046 S SORRENTO WAY
Second Line :
City : WEST JORDAN
State : UT
Zip : 84081-8184
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2024
Last Update Date : 01/23/2026

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Directions to “ DOMINICK RAMIREZ PA-C” Practice Location

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