Individual
SCARLET REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1105 W 1000 N, SALT LAKE CITY, UT 84116-2135
(801) 364-2434
Mailing address
25 S 1100 E APT 14, SALT LAKE CITY, UT 84102-1514
(323) 332-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2020
Last updated
09/13/2021
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