Individual
ANDREA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 CIRCLE OF HOPE DR STE 4126, SALT LAKE CITY, UT 84112-5550
(801) 585-3229
Mailing address
461 E 1ST AVE APT 2, SALT LAKE CITY, UT 84103-2997
(315) 593-4059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11431607-1206
UT
Other
Enumeration date
09/04/2019
Last updated
11/12/2021
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