Individual provider · Type 1 NPI

Nathanael W. Ridge, PA, PhD

Medical Physician Assistant · Murray, UT

NPI number 1134424641 Active

Practice location

5770 S 250 E, #290
Murray, UT 84107-8100

Call (801) 747-8700 Map

Fax (801) 747-8701

Other practice locations

  • 1909 S 4250 W Ofc A, Salt Lake City, UT 84104-4837 · (801) 675-8777

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X68336662501 (UT)
Medical Physician Assistant Primary 363AM0700X6833666-1206 (UT)

Medical Physician Assistant: Definition to come...

70 other providers at this address

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About NPI 1134424641

Nathanael W. Ridge, PA, PhD's National Provider Identifier is 1134424641, issued on Jan 13, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Murray, UT. The record was last updated on Nov 24, 2023.