Individual
JULIE HIMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
(801) 483-1610
Mailing address
1379 S 800 E, SALT LAKE CITY, UT 84105-2249
(720) 244-6419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10673585-1206
UT
363AM0700X
Medical Physician Assistant
2690
CO
Other
Enumeration date
10/03/2008
Last updated
04/16/2019
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