Individual
ALISSA ANN PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9071 S 1300 W, #301, WEST JORDAN, UT 84088-6672
(801) 565-1162
(801) 565-1168
Mailing address
9071 S 1300 W, #301, WEST JORDAN, UT 84088-6672
(801) 565-1162
(801) 565-1168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6353362-1205
UT
Other
Enumeration date
04/23/2008
Last updated
07/26/2013
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