Individual
WENDY MIDGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10462 S REDWOOD RD, SOUTH JORDAN, UT 84095-8501
(801) 352-9500
(801) 352-9502
Mailing address
2678 EDGEHILL DR, BOUNTIFUL, UT 84010-4330
(801) 808-2970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
6324228-4810
UT
363A00000X
Physician Assistant
6324228-1206
UT
363AM0700X
Medical Physician Assistant
Primary
6324228-126PA
UT
Other
Enumeration date
05/30/2007
Last updated
11/22/2021
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