Individual
HEATHER B ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
517 W 100 N STE 103, PROVIDENCE, UT 84332-9824
(435) 554-8442
(435) 500-9167
Mailing address
3240 N 1800 E, LOGAN, UT 84341-8312
(801) 201-9151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5536681-1206
UT
Other
Enumeration date
07/09/2006
Last updated
03/14/2023
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