Individual
MRS. ERIN JESSICA ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N MEDICAL DRIVE, SALT LAKE CITY, UT 84113-1103
(801) 915-9115
Mailing address
637 E 2700 S, SALT LAKE CITY, UT 84106-1335
(801) 915-9115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5868696-1206
UT
Other
Enumeration date
11/13/2008
Last updated
09/22/2009
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