Individual
JANA BULLOCH MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
375 S CHIPETA WAY, SUITE A200, SALT LAKE CITY, UT 84108-1260
(801) 581-2016
(801) 587-3349
Mailing address
375 S CHIPETA WAY, SUITE A200, SALT LAKE CITY, UT 84108-1260
(801) 581-2016
(801) 587-3349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6583348-1206
UT
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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