Individual
ANNA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 856-5516
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 856-5516
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8797960-1206
UT
363AS0400X
Surgical Physician Assistant
8797960-1206
UT
Other
Enumeration date
09/19/2013
Last updated
07/02/2024
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