IndividualActive
Adam Toller, PA
NPI 1477971281 · Physician Assistant · Provo, UT
Provider details
- NPI number
- 1477971281
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 9816278-1206 (UT)
Practice location
1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Mailing address
1055 N 500 W
Provo, UT 84604
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.