Individual
MS. SHANNA SUMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
39 S 1300 W, CLEARFIELD, UT 84015-8631
(801) 680-4649
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
9447272-5401
UT
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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