Individual
HEATHER LEANNE SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MEDICAL DR STE 205, BOUNTIFUL, UT 84010-5173
(801) 298-0057
Mailing address
1187 E 3900 S, SALT LAKE CITY, UT 84124-1201
(801) 944-3187
(801) 944-3180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13623379-1206
UT
Other
Enumeration date
08/05/2022
Last updated
11/02/2023
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