Doctor Name: | EDWARD GUY HUNTER |
NPI Number: | 1124000427 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 112426-1206 |
Business Practice Address: | 380 N 200 W Suite 209 Bountiful, UT - 840107079 |
Business Phone Number: | 8012981300 |
Business Fax Number: | 8012966199 |
Mailing Address: | 380 N 200 W, Suite 209 BOUNTIFUL |
State: | UT |
Postal Code: | 840107079 |
Phone Number: | 8012981300 |
Fax Number: | 8012966199 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 03/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 112426-1206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |