Individual
CYNTHIA C BERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2720 HOMESTEAD RD, SUITE 100, PARK CITY, UT 84098-4881
(435) 940-9400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 940-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4948359-1206
UT
Other
Enumeration date
07/13/2005
Last updated
09/16/2021
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