Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IAN DANIEL PRIMAVERA, PA-C
ActiveMR. IAN DANIEL PRIMAVERA, PA-C is a Medical Physician Assistant healthcare provider located in HURRICANE, Utah. NPI 1831441237 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HURRICANE, UT
Registration Details
- NPI Number
- 1831441237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2012 (13.884632510681 yrs)
- Last Updated
- Jul 25, 2022
- Licenses
-
12870631-1206 (UT)PA22615 (CA)
Practice Information
- Address
-
75 N 2260 WHURRICANE, UT, 847372034Browse UT providers · Browse ZIP 84737
- Phone
- 7607570224
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in HURRICANE, UT
| Name | Credential | NPI |
|---|---|---|
| KARLY VAN DRESE | — | 1043182207 |
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.