Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN T DEDRICKSON, PA-C
ActivePhysician Assistant · LAYTON, UT
Registration Details
- NPI Number
- 1710496047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2017 (8.5885902535769 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
6854 (AZ)10982649-1206 (UT)
Practice Information
- Address
-
1580 W ANTELOPE DR STE 110LAYTON, UT, 840411153Browse UT providers · Browse ZIP 84041
- Phone
- 8018077699
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LAYTON, UT
| Name | Credential | NPI |
|---|---|---|
| MICHAEL C HAWKINS | PA-C | 1639161078 |
| MR. JESSE A JORGENSEN | PAC | 1336130889 |
| TERRY RUSSELL VAN WORMER | PA-C | 1467439505 |
| BRYAN SEARLE | PA-C | 1427037738 |
| DAVIN BOYD HANSEN | PA-C | 1770562878 |
| DANIEL OFFRET | PA-C | 1083675128 |
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.