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Individual

SKYLAR RACKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5171 S COTTONWOOD ST, MURRAY, UT 84107-5704
(801) 507-9310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7355058-1206
UT
363A00000X
Physician Assistant

Other

Enumeration date
05/20/2022
Last updated
06/23/2023
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