IndividualActive
Aidan Goble, PA-S
NPI 1972449197 · Student in an Organized Health Care Education/Training Program · Provo, UT
Provider details
- NPI number
- 1972449197
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
1800 Novell Pl
Provo, UT 84606-6171
Phone: (801) 375-5125
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Novell Pl
Provo, UT 84606-6171
Registry dates
- Enumerated
- 2026-04-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.