Individual
LAURA ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 E 11800 S STE 360, DRAPER, UT 84020
(801) 260-3687
Mailing address
663 W 3500 S, BOUNTIFUL, UT 84010-8334
(801) 589-9463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8695231-1206
UT
Other
Enumeration date
10/09/2018
Last updated
01/16/2020
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