Benjamin T. Dedrickson, PA-C

Physician Assistant · Layton, UT

Individual Active NPI

NPI number 1710496047

Practice location

1580 W Antelope Dr Ste 110
Layton, UT 84041-1153
Phone
(801) 807-7699

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NPI record

NPI
1710496047
Entity type
Individual (Type 1)
Enumeration date
September 29, 2017
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 10982649-1206 UT
Family Medicine Physician 207Q00000X 6854 AZ

Mailing address

1489 S Higley Rd Ste 101
Gilbert, AZ 85296-4777
Phone
(480) 457-8800

Other practice locations (1)

  • 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 · (480) 457-8800

About Benjamin Dedrickson

Benjamin T. Dedrickson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1580 W Antelope Dr Ste 110, Layton, UT 84041-1153. The NPI number 1710496047 was assigned on September 29, 2017 and the record was last updated on July 21, 2022.

Benjamin Dedrickson lists 2 licenses in the registry: #10982649-1206 (UT) for Physician Assistant; #6854 (AZ) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin T. Dedrickson, PA-C?

The NPI number is 1710496047.

What is the phone number of Benjamin Dedrickson?

The phone number listed for the practice location is (801) 807-7699.

Where is Benjamin Dedrickson located?

1580 W Antelope Dr Ste 110, Layton, UT 84041-1153.

What is the taxonomy code for Benjamin Dedrickson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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