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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRY RUSSELL VAN WORMER, PA-C

Active

Physician Assistant · LAYTON, UT

Registration Details

NPI Number
1467439505
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2005 (20.311109830248 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
2121 N 1700 W
LAYTON, UT, 840418803
Browse UT providers · Browse ZIP 84041
Phone
8017734840
Fax
8015258151
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAYTON, UT

Name Credential NPI
MICHAEL C HAWKINS PA-C 1639161078
MR. JESSE A JORGENSEN PAC 1336130889
BRYAN SEARLE PA-C 1427037738
DAVIN BOYD HANSEN PA-C 1770562878
DANIEL OFFRET PA-C 1083675128
MS. KAREN HAUENSTEIN PA-C 1558316349
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.