Individual
MEREDITH EVIN PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5450 S GREEN ST, MURRAY, UT 84123-5632
(801) 268-2299
Mailing address
5450 S GREEN ST, MURRAY, UT 84123-5632
(801) 268-2299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7598304-1206
UT
Other
Enumeration date
07/09/2008
Last updated
01/28/2016
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