Individual
HEATHER M GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, 1R27, SALT LAKE CITY, UT 84132-2119
(801) 581-4695
(801) 585-5546
Mailing address
127 S. 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
6124860-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
6124860-1206
UT
Other
Enumeration date
10/16/2012
Last updated
01/03/2023
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