Todd Dale Lythgoe, PA-C
Physician Assistant in Bountiful, UT. Individual provider (NPI-1).
NPI number1477571065
StatusActive
Last updated in NPPESJan 17, 2017
Details
- NPI
- 1477571065
- Entity type
- Individual (NPI-1)
- Name
- Todd Dale Lythgoe
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jan 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8092052-1206 | UT | Yes |
Practice location
1560 Renaissance Towne DrSuite 210
Bountiful, UT 84010-7680
Phone 801-397-6100 · Fax 801-397-6101
Mailing address
Po Box 5546Denver, CO 80217-5546
Phone 801-397-6100 · Fax 801-397-6101
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All 33 Physician Assistant providers in Bountiful · All 1,764 providers in Bountiful
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