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Individual

TERESA SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5169 S COTTONWOOD ST, SUITE 520, MURRAY, UT 84107
(801) 507-3500
(801) 507-3505
Mailing address
5169 S COTTONWOOD ST, SUITE 520, MURRAY, UT 84107
(801) 507-3500
(801) 507-3505

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10636633-1206
UT
363A00000X
Physician Assistant
50.004282RX
OH
363AS0400X
Surgical Physician Assistant
50.004282
OH

Other

Enumeration date
02/03/2015
Last updated
03/07/2019
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