Individual
NAOMI RUTH LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
(801) 587-7117
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
(801) 587-7117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
68042761206
UT
Other
Enumeration date
08/22/2005
Last updated
11/17/2021
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