Individual
MS. REBECCA ANN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 FOOTHILL DR, SLC VA MED CENTER (PB 110), SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2517
Mailing address
8626 SILVER CREEK RD, PARK CITY, UT 84098-5642
(435) 658-2669
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4874616-1206
UT
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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