Individual
MRS. TIINA M THORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, PA-C, RRT
Contact information
Practice address
5169 S COTTONWOOD ST, BUILDING 2, SUITE 510, MURRAY, UT 84107-6767
(801) 507-3513
Mailing address
5169 S COTTONWOOD ST, BUILDING 2, SUITE 510, MURRAY, UT 84107-6767
(801) 507-3513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6358658-1206
UT
363A00000X
Physician Assistant
PA22848
CA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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