Individual
EMILSE ANTONIO PERAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1045 E 3900 S, SALT LAKE CITY, UT 84124-1100
(801) 261-2000
(801) 262-5304
Mailing address
1045 E 3900 S, SALT LAKE CITY, UT 84124-1100
(801) 261-2000
(801) 262-5304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03160
NC
363A00000X
Physician Assistant
Primary
6777964-1206
UT
363A00000X
Physician Assistant
PA1364
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03160
NC MEDICAL LICENSE
NC
01
—
6777964-1206
UT PA LICENSE
UT
01
—
PA1364
NV PA LICENSE
NV
Enumeration date
10/13/2011
Last updated
07/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us