Individual
REBECCA SUE KLOTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5063 S COTTONWOOD ST, STE 120, MURRAY, UT 84107-6766
(801) 507-1800
Mailing address
5063 S COTTONWOOD ST, STE 120, MURRAY, UT 84107-6766
(801) 507-1800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
294664-1206
UT
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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