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NPI Profile for NATHAN GRACEY in GARDEN CITY, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1255597043 |
|
| Status | Active | |
| Credentials | MPAS, PA-C | |
| Entity | Individual | |
| Enumeration date | 08/01/2008 | |
| Last updated | 02/24/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NATHAN GRACEY
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NATHAN GRACEY, MPAS, PA-C