Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW WADE PHIPPEN
ActivePhysical Medicine & Rehabilitation · HOLLADAY, UT
Registration Details
- NPI Number
- 1083069025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2016 (10.026586556104 yrs)
- Last Updated
- May 3, 2021
- License
-
284016-2401 (UT)
Practice Information
- Address
-
2960 E CASTO LNHOLLADAY, UT, 841177123Browse UT providers · Browse ZIP 84117
- Phone
- 8015561866
- Fax
- 8016495966
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in HOLLADAY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JAYNE ELIZABETH CLARK | M.D. | 1295735728 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.