NPI #
1138 E Wilmington Ave
Salt Lake City, UT, 84106-2819
9158207-1206
UT
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363A00000X
1138 Wilmington Ave
2191 S Mcclelland St Apt 634
Salt Lake City, UT, 84106-4562
3838 S 700 E Ste 300A
Salt Lake City, UT, 84106-1496