Individual
MS. ERIN LEE DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7171 S 420 E, MIDVALE, UT 84047-5642
(617) 930-9302
Mailing address
7171 S 420 E, MIDVALE, UT 84047-5642
(617) 930-9302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9631951-1206
UT
363AM0700X
Medical Physician Assistant
5260
AZ
Other
Enumeration date
10/05/2012
Last updated
02/03/2024
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