Individual
MARA RACHEL RABIN DISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 PARK AVE STE 100, PARK CITY, UT 84060-7246
(435) 615-8822
(435) 615-8823
Mailing address
2200 PARK AVE STE 100, PARK CITY, UT 84060-7246
(435) 615-8822
(435) 615-8823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12945855-1206
UT
Other
Enumeration date
07/28/2022
Last updated
09/20/2022
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