NPI #
319 E Beldon Pl
Salt Lake City, UT, 84111-3516
13005172-1206
UT
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363A00000X
610 S 200 E Ste B
Salt Lake City, UT, 84111-3802
461 S 400 E
Salt Lake City, UT, 84111-3302