CHARITY OAKS COE

SALT LAKE CITY, UT
NPI1184824005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  5744061-1206)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MD  C0003391)
Enumeration Date2007-07-19
Last Update Date2008-03-26
Business Address
-- CHARITY OAKS COE PA-C
UNIVERSITY OF UTAH MEDICAL CENTER TRAUMA SERVICE 50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 443-690-6996
Mailing Address
-- CHARITY OAKS COE PA-C
UNIVERSITY OF UTAH MEDICAL CENTER TRAUMA SERVICE 50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 443-690-6996