Individual provider · Type 1 NPI
Christopher Koffel, PA-C
Surgical Physician Assistant · Salt Lake City, UT
NPI number
1316613516
Active
Practice location
30 N 1900 E Ste 3C344
Salt Lake City, UT 84132-0002
Mailing address
1737 S 300 E
Salt Lake City, UT 84115-1761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 12322293-1206 (UT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1316613516
Christopher Koffel, PA-C's National Provider Identifier is 1316613516, issued on Aug 18, 2021. 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 3, 2021.