Individual
ROBIN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-4888
(801) 585-3655
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
347244-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347244-1205
UTAH PA LISCENCE
UT
Enumeration date
04/18/2007
Last updated
03/07/2023
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