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Individual

SETH YOUKSTETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 585-0100
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7827258-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1089468
NCCPA
Enumeration date
04/13/2010
Last updated
12/20/2021
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