Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 166306-1204 | UT |
NPI | 1912006412 |
---|---|
Provider Name | Paul W Saxton |
First Address | Sandy, UT 84094-3666 |
Second Address | Sandy, UT 84094-3666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |