Individual
MEESHA LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 213-3469
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 213-3469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
079212
IA
363A00000X
Physician Assistant
Primary
12772097-1206
UT
Other
Enumeration date
10/05/2015
Last updated
05/02/2023
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