Provider Demographics
NPI:1619657616
Name:TOLMAN, JOY (PA-S)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:TOLMAN
Suffix:
Gender:F
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 1:1407 N 2000 W STE G
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:UT
Mailing Address - Zip Code:84015-8563
Mailing Address - Country:US
Mailing Address - Phone:853-333-7123
Mailing Address - Fax:
Practice Address - Street 1:1407 N 2000 W STE G
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:UT
Practice Address - Zip Code:84015-8563
Practice Address - Country:US
Practice Address - Phone:853-333-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant