Individual
HALEY JO HARWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-2531
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-2531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11561990-1206
UT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/21/2018
Last updated
06/21/2021
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