NPI 1013590785

Samuel Rush Osimitz

Practitioner Physician Assistant Salt Lake City, UT

Practice location

Address: 375 S Chipeta Way, Salt Lake City, UT 84108-1260
Phone: (801) 581-7766

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10705102-1206 (UT)

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Registry record

NPI: 1013590785
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2021
Record last updated: 2 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.