IndividualActive
Benjamin Packard
NPI 1376389890 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1376389890
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone: (385) 732-4982
Approximate (ZIP-level) locationGet directions
Mailing address
4690 S 4650 W
West Haven, UT 84401-9301
Registry dates
- Enumerated
- 2024-07-03
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.