Individual provider · Type 1 NPI
Robert Andrew Serpico, PA-C, MSPAC
Medical Physician Assistant · Provo, UT
NPI number
1851628218
Active
Practice location
1375 N University Ave
Provo, UT 84604-2658
Fax (801) 373-5762
Mailing address
924 Lorraine Ave
Salt Lake City, UT 84106-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7472700-1206 (UT) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1851628218
Robert Andrew Serpico, PA-C, MSPAC's National Provider Identifier is 1851628218, issued on Nov 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on Nov 18, 2021.