Individual
DIANA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
722 SHEPARD LN, SUITE 102, FARMINGTON, UT 84025-3845
(801) 447-3377
Mailing address
1520 COUNTRY HILLS DR, OGDEN, UT 84403-2512
(801) 391-1882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5582820-1206
UT
Other
Enumeration date
08/19/2006
Last updated
07/09/2007
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