Individual
MRS. MACY RIDEOUT PARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 S 2100 E, SALT LAKE CITY, UT 84108-2272
(385) 630-5739
Mailing address
1353 S 2100 E, SALT LAKE CITY, UT 84108-2272
(385) 630-5739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14242811-1206
UT
Other
Enumeration date
03/31/2023
Last updated
03/09/2026
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