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

TRAVIS LEE DIMOND, PA-C

Active Sole Proprietor

Physician Assistant · PROVO, UT

Registration Details

NPI Number
1942437918
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2009 (16.873772240572 yrs)
Last Updated
Oct 25, 2024
License
7371008-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
395 W COUGAR BLVD STE 803
PROVO, UT, 846043311
Browse UT providers · Browse ZIP 84604
Phone
8012357246
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
JOHN A WHITEHEAD PA 1619935053
CORY NATHANAEL MILLER PA 1346298510
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.