Individual
CANDRA BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3773 W 12600 S, RIVERTON, UT 84065-5577
(801) 285-1285
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14246993-1206
UT
Other
Enumeration date
05/11/2024
Last updated
11/24/2025
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