Individual
CATHERINE VAN TASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
631 E BROWNING AVE, SALT LAKE CITY, UT 84105-2114
(801) 577-5623
Mailing address
631 E BROWNING AVE, SALT LAKE CITY, UT 84105-2114
(801) 577-5623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5331966-1206
UT
Other
Enumeration date
09/22/2016
Last updated
06/06/2022
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