Thomas Niles, PA-S
Thomas Niles, PA-S is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1800 Novell PlProvo, UT 84606-6171
Phone: (916) 756-5677
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1710777958 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-S |
| Sole proprietor | No |
| NPI enumerated | May 9, 2025 |
| Last updated in NPPES | May 9, 2025 |
| Certification date | May 9, 2025 |
| Mailing address | 9298 Elder Creek Rd, Sacramento, CA 95829-9325 |
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Kyle Richard Olsen
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