Individual
DANIELLE FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 213-5687
Mailing address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
10/26/2021
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