Individual
PATRICE ANN DUVERNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
324 10TH AVE STE 200, SALT LAKE CITY, UT 84103-2869
(801) 408-7540
(801) 408-2886
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 535-8163
(801) 355-4011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
183098-1205
UT
Other
Enumeration date
07/04/2006
Last updated
09/16/2011
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