MICHAEL A. POND PAC NPI 1104005503

NPI Information

NPI: 1104005503
Provider Name: MICHAEL A. POND, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
FAIRFAX RD AT VIRGINIA ST
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 536-3600
Get Directions

Michael A. Pond, PAC is a surgical physician assistant in Salt Lake City, UT. Michael A. Pond, PAC NPI is 1104005503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

FAIRFAX RD AT VIRGINIA ST
SALT LAKE CITY, UT
ZIP 84103-399
Phone: (801) 536-3600
Fax: (801) 536-3686

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	270563-1206	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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