Individual
JULIA FAITH PIWOWARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7304
Mailing address
9 BLUEBERRY WAY, WEBSTER, MA 01570-3236
(508) 341-0791
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
12342807-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
12342807-1206
UT
Other
Enumeration date
06/17/2021
Last updated
11/11/2021
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