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

JOHN A WHITEHEAD, PA

Active

Physician Assistant · PROVO, UT

Registration Details

NPI Number
1619935053
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2006 (19.968607138835 yrs)
Last Updated
Sep 4, 2023
License
3694731206 (UT)

Practice Information

Address
1055 N 500 W
SUITE 101
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013734366
Fax
8014298191
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PROVO, UT

Name Credential NPI
JEFFREY D PIERSON PA-C 1861490609
BRET D HILTON PA 1467451609
STEVEN R NIELSON PA 1184623217
JOHN ZACHARY PA 1871580829
CORY NATHANAEL MILLER PA 1346298510
BRYCE HANCOCK PA 1457309668
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.