Individual
KIRSTEN BRUNS CALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 S REDWOOD RD, WEST VALLEY, UT 84119-2027
(801) 975-1600
Mailing address
997 LAKE ST, SALT LAKE CITY, UT 84105-1238
(801) 884-9018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6724153-1206
UT
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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