Individual
SUZETTE DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2356 N 400 E STE 202, TOOELE, UT 84074-3409
(435) 843-8380
Mailing address
2356 N 400 E STE 202, TOOELE, UT 84074-3409
(435) 843-8380
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5350291-4405
UT
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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