Provider Demographics
NPI:1770229395
Name:ZUPANCIC, TROY PAUL II (PA-S)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:PAUL
Last Name:ZUPANCIC
Suffix:II
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3875
Mailing Address - Country:US
Mailing Address - Phone:435-652-7500
Mailing Address - Fax:
Practice Address - Street 1:225 S UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3875
Practice Address - Country:US
Practice Address - Phone:435-652-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant