Abbie Ryan Sugihara, PA-C
Physician Assistant in Provo, UT. Individual provider (NPI-1).
NPI number1164079067
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1164079067
- Entity type
- Individual (NPI-1)
- Name
- Abbie Ryan Sugihara
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2019
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8451587-1206 | UT | Yes |
Practice location
1034 N 500 WProvo, UT 84604-3380
Phone 801-357-7850
Mailing address
15219 S Cutlass CtBluffdale, UT 84065-2514
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