Individual
AMANDA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E # 3B110, SALT LAKE CITY, UT 84132-0002
(801) 585-2708
Mailing address
30 N 1900 E # 3B110, SALT LAKE CITY, UT 84132-0002
(801) 585-2708
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9672375-1206
UT
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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