Individual
MEGAN GRACE MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1002 E SOUTH TEMPLE, #508, SLC, UT 84102-1525
(801) 531-8634
Mailing address
515 E 6TH AVE APT 6, SLC, UT 84103-6008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9758257-1206
UT
363AM0700X
Medical Physician Assistant
MM4109612
UT
Other
Enumeration date
12/29/2016
Last updated
05/03/2017
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