Individual
MEGAN SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1002 E SOUTH TEMPLE, SUITE 408, SALT LAKE CITY, UT 84102-1525
(208) 861-5282
Mailing address
4460S HIGHLAND DR 400, SALT LAKE CITY, UT 84124-3565
(801) 272-4111
(801) 272-5989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8414444-1206
UT
Other
Enumeration date
09/21/2012
Last updated
09/21/2015
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