Individual
SANDRA LEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1159 E 200 N #250, AMERICAN FORK, UT 84003
(801) 855-2980
(801) 855-2990
Mailing address
1159 E 200 N #250, AMERICAN FORK, UT 84003
(801) 372-5379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11859844-1206
UT
Other
Enumeration date
07/21/2020
Last updated
09/26/2023
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