Individual
AMANDA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5770 S 250 E STE 285, MURRAY, UT 84107-8194
(801) 268-2822
(801) 268-2832
Mailing address
4000 S 700 E STE 10, SALT LAKE CITY, UT 84107-2580
(801) 268-4141
(801) 261-8609
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568773935
—
UT
Enumeration date
06/30/2010
Last updated
09/28/2015
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