Individual
KIM PHUNG LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
181 E MEDICAL TOWER DR, MURRAY, UT 84107-4872
(801) 314-7777
Mailing address
181 E MEDICAL TOWER DR, MURRAY, UT 84107-4872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13567510-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
09/11/2023
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