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Individual

ELIZABETH LEEANNE DARLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C MPAS

Contact information

Practice address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699
Mailing address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6710989-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6710989-1206
STATE LICENSE
UT
Enumeration date
10/09/2007
Last updated
10/09/2007
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