Individual provider · Type 1 NPI

Gustavo Carrillo

Physician Assistant · Salt Lake City, UT

NPI number 1114542255 Active

Practice location

610 S 200 E Ste B
Salt Lake City, UT 84111-3802

Call (602) 626-4835 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12476377-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114542255

Gustavo Carrillo's National Provider Identifier is 1114542255, issued on Jun 15, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 17, 2021.