Individual
MRS. TERRA L ROCKENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
166 N STATE ST, MORGAN, UT 84050-9919
(801) 829-3426
(801) 829-3135
Mailing address
PO BOX 405714, ATLANTA, GA 30384-5714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8819221-1206
UT
Other
Enumeration date
01/15/2010
Last updated
10/23/2023
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