Individual provider · Type 1 NPI

Michael A. Pond, PAC

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1104005503 Active

Practice location

Fairfax Rd At Virginia St
Salt Lake City, UT 84103-4399

Call (801) 536-3600 Map

Fax (801) 536-3686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X270563-1206 (UT)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1104005503

Michael A. Pond, PAC's National Provider Identifier is 1104005503, issued on Nov 1, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 1, 2007.