Individual
ASHLEY CAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISSTANT
Contact information
Practice address
565 KOMAS DRIVE, SALT LAKE CITY, UT 84108
(801) 584-5144
Mailing address
107 B STREET, APT 9, SALT LAKE CITY, UT 84103
(609) 509-3228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11914849-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
03/29/2022
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